Comparison of the Clinical Efficacy of Retroperitoneal Laparoscopic Partial Nephrectomy and Radical Nephrectomy for Treating Small Renal Cell Carcinoma: Case Report and Literature Review.
BACKGROUND
Renal cell carcinoma (RCC) is a common malignancy of the urinary system with high rates of morbidity and mortality.


OBJECTIVE
This study aimed to investigate and analyze the clinical efficacy of retroperitoneal laparoscopic partial nephrectomy and laparoscopic radical nephrectomy for the treatment of small RCC.


METHODS
In this retrospective study of 45 patients with small RCC, the patients were divided into two treatment groups: Group A (retroperitoneal laparoscopic partial nephrectomy, 25 cases) and Group B (retroperitoneal laparoscopic radical nephrectomy, 20 cases).


RESULTS
There were no statistically significant differences in the operative time, amount of intraoperative blood loss, length of hospital stay, preoperative creatinine level, postoperative creatinine level after 24 hours, and survival rate after 1, 2, and 3 years between the two groups (P > 0.05).


CONCLUSIONS
There were no significant differences in the survival rates and short-term postoperative complications between the laparoscopic partial nephrectomy group and the laparoscopic radical nephrectomy group for small RCC, but the former was slightly more effective.
Department of Urology, 187 Hospital of PLA, Hainan, China.
Hongfeng
H
Shen
Department of Urology, 187 Hospital of PLA, Hainan, China.
Ruisha
R
Tu
Department of Urology, 187 Hospital of PLA, Hainan, China.
Wei
W
Li
Department of Urology, 187 Hospital of PLA, Hainan, China.
Geng
G
He
Department of Urology, 187 Hospital of PLA, Hainan, China.
Wei
W
Huang
Department of Urology, 187 Hospital of PLA, Hainan, China.
Zhenchang
Z
Qin
Department of Urology, 187 Hospital of PLA, Hainan, China.
Chongfeng
C
Wang
Department of Urology, 187 Hospital of PLA, Hainan, China.
Shuyong
S
Yu
Post-Laparoscopic Partial Nephrectomy; Retroperitoneal Laparoscopic Radical Nephrectomy; Small Renal Cell Carcinoma