[Retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cancer].
OBJECTIVE
To evaluate the safety and efficacy of retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cancer.


METHODS
The clinical data of 53 cases who underwent retroperitoneal laparoscopic radical nephrectomy were analyzed retrospectively.


RESULTS
Fifty-two cases achieved successful retroperitoneal laparoscopic radical nephrectomy, a conversion to open surgery was required in one case because of severe adhesion. The operation time was 75 min to 220 min (mean, 125 min), the blood loss was 50 ml to 420 ml (mean, 120 ml), and the postoperative hospital stay was 6 d to 12 d. Complications occurred in 4 cases. Pathological examination showed that 47 cases were of renal clear cell carcinoma, 5 of chromophobe carcinoma, and 1 of cystic renal cell carcinoma. Follow-up for 1 month to 5 years showed no tumor recurrence and metastasis.


CONCLUSIONS
Retroperitoneal laparoscopic radical nephrectomy is a safe and effective treatment for patients with stage T1 - 2N0M0 renal cell carcinoma.
Department of Urology, the Third Affiliated Hospital of Suzhou University, Changzhou 213003 China.
Zhong
Z
Xue
Xiao-Zhou
XZ
He
Li
L
Cui
Ren-Fang
RF
Xu
Xian-Lin
XL
Xu
D000328:Adult; D000368:Aged; D001457:Anion Exchange Protein 1, Erythrocyte / Q000378:metabolism; D017920:Antiporters / Q000378:metabolism; D002292:Carcinoma, Renal Cell / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053552:Keratin-7 / Q000378:metabolism; D007680:Kidney Neoplasms / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000379:methods*; D015260:Neprilysin / Q000378:metabolism; D012187:Retroperitoneal Space; D012189:Retrospective Studies
D001457:Anion Exchange Protein 1, Erythrocyte; D017920:Antiporters; D053552:Keratin-7; C489237:SLC4A3 protein, human; D015260:Neprilysin