title: Laparoscopic excision of local recurrence of renal cell carcinoma.
abstract: OBJECTIVE
  To report a single center's experience with laparoscopic excision of local recurrence of renal cell carcinoma.
  
  
  METHODS
  Between January and August 2011, 5 patients who underwent laparoscopic excision of local recurrence were identified from the institutional laparoscopic surgery database.
  
  
  RESULTS
  Four radical nephrectomies and 1 partial nephrectomy were performed for primary tumors. The mean ages of the patients were 57.4 y (range, 48 to 68) and 62.8 y (range, 53 to 71) at the time of primary surgery and laparoscopic recurrence excision, respectively. The average size of the primary tumor was 7.2cm (range, 4.5 to 11). The mean size of local recurrence was 3.46cm (range, 2.8 to 4.5). The original tumor T stages were T1b, T2b, and T4 in 3, 1, and 1 cases, respectively. The mean time to diagnosis of recurrence was 51.2 mo (range, 15 to 136). The pathology of one patient who had previously received targeted therapy with sunitinib, was necrosis, unlike the other 4 pathologies which revealed renal cell carcinoma. The mean operative time, estimated blood loss, and length of hospital stay were 86 min (range, 70 to 100), 100 mL (range, 20 to 300), and 4 d (range, 2 to 8), respectively. One pleural injury did not need open conversion and was repaired laparoscopically. At a mean follow-up of 8.4 mo, the cancer-specific and disease-free survival rates were 100% and 60%, respectively.
  
  
  CONCLUSIONS
  Laparoscopic excision of local recurrence of RCC is a feasible technique in well-selected patients with low-volume mass not involving the adjacent organs.
authors.affiliation: Department of Urology, Istanbul Faculty of Medicine, Istanbul, Turkey. onersanli@hotmail.com
authors.forename: Oner
authors.initials: O
authors.lastname: Sanli
authors.forename: Selcuk
authors.initials: S
authors.lastname: Erdem
authors.forename: Tzevat
authors.initials: T
authors.lastname: Tefik
authors.forename: Omer
authors.initials: O
authors.lastname: Aytac
authors.forename: Omer Baris
authors.initials: OB
authors.lastname: Yucel
authors.forename: Tayfun
authors.initials: T
authors.lastname: Oktar
authors.forename: Faruk
authors.initials: F
authors.lastname: Ozcan
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome