title: Ex-vivo nephron-sparing surgery and autotransplantation for renal tumours: Revisited.
abstract: BACKGROUND
  We studied the feasibility of ex-vivo nephron-sparing surgery and autotransplantation for complex renal tumours. We also studied the role of laparoscopy in these situations.
  
  
  METHODS
  All patients who underwent renal autotransplantation for renal tumour at our centre were included in this retrospective study. Patient profiles were recorded in detail. Operative and postoperative details were also recorded.
  
  
  RESULTS
  Our series includes 3 patients. Two patients had complex renal cell carcinoma and 1 patient had bilateral large angiomyolipoma. In first 2 patients, laparoscopic approach was used for nephrectomy. Operative time for case 1, 2 and 3 was 5.5, 4.5, 8 (right side) and 6 (left side) hours, respectively. Cold ischemia time was 110, 90, 150 and 125 minutes, respectively. One patient required temporary postoperative hemodialysis.
  
  
  CONCLUSIONS
  Ex-vivo nephron-sparing surgery and autotransplantation still remain a viable option for complex renal tumours. It offers satisfactory renal functional outcome with acceptable morbidity. The laparoscopic approach should be used whenever possible to reduce morbidity.
authors.affiliation: Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: George P
authors.initials: GP
authors.lastname: Abraham
authors.affiliation: Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Avinash T
authors.initials: AT
authors.lastname: Siddaiah
authors.affiliation: Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Krishnamohan
authors.initials: K
authors.lastname: Ramaswami
authors.affiliation: Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Datson
authors.initials: D
authors.lastname: George
authors.affiliation: Lakeshore Hospital and Research Centre, Kochi, India.
authors.forename: Krishanu
authors.initials: K
authors.lastname: Das