[Laparoscopic partial nephrectomy for renal tumors. Time for a new standard?]

Urologe A. 2015 Jun;54(6):826-31. doi: 10.1007/s00120-014-3656-4.
[Article in German]

Abstract

Purpose: Our aim was to evaluate the laparoscopic partial nephrectomies (LPN) performed at our hospital and compare the results with those from other current studies on partial nephrectomy.

Patients and methods: Between March 2006 and January 2014, 280 patients were treated with LPN in our hospital. We evaluated age, sex, and surgical parameters like operating time, warm ischemia time (WIT), hospital stay, complications, tumor staging, grading, and size

Results: The patients were 61.6±12.4 years old. The median operating time for LPN was 134±51 min. A total of 30% of the operations were treated using the zero ischemia technique. The WIT was 19.9±9.8 min. The WIT of the last 50 LPN performed was 13±7 min. Complications were documented in 15% of the LPNs.

Conclusion: LPN is a curative treatment option for the renal cell carcinoma similar to open partial nephrectomy; however, laparoscopy is associated with lower morbidity.

Publication types

  • Comparative Study
  • Controlled Clinical Trial
  • English Abstract

MeSH terms

  • Age Distribution
  • Female
  • Germany / epidemiology
  • Humans
  • Kidney Neoplasms / epidemiology*
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / surgery*
  • Laparoscopy / standards
  • Laparoscopy / statistics & numerical data*
  • Length of Stay / statistics & numerical data*
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / standards
  • Minimally Invasive Surgical Procedures / statistics & numerical data
  • Needs Assessment
  • Nephrectomy / standards
  • Nephrectomy / statistics & numerical data*
  • Operative Time*
  • Organ Sparing Treatments / standards
  • Organ Sparing Treatments / statistics & numerical data
  • Practice Guidelines as Topic
  • Prevalence
  • Sex Distribution
  • Treatment Outcome