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Laparoscopic Partial Nephrectomy

  • J. Stuart WolfJr.
Part of the Current Clinical Urology book series (CCU)

Abstract

Laparoscopic partial nephrectomy is an excellent management option for small, superficial renal masses. With experience, larger and deeper tumors can be addressed as well. Intermediate-term follow-up (3- and 5-year) suggests cancer control similar to that of open surgery. The benefit of laparoscopy over open surgery is a briefer and less intense convalescence. The disadvantage of laparoscopic partial nephrectomy, at least with current techniques, is a complication rate that is somewhat greater than for open surgery. Careful preoperative assessment and planning is of utmost importance. A successful procedure can be performed through a variety of approaches (transperitoneal, retroperitoneal, and hand-assisted), with or without renal hilar clamping, and using any of a number of methods for tumor bed management (coagulation instruments, hemostatic products, and suturing), with the optimal selection of technique determined by the tumor characteristics.

Key Words

partial nephrectomy laparoscopy renal cell carcinoma tissue sealants hemostasis 

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Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • J. Stuart WolfJr.
    • 1
  1. 1.Department of UrologyUniversity of Michigan Health SystemAnn ArborUSA

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