Laparoscopic Radical Nephrectomy

Retroperitoneal Approach
  • Andre Berger
  • Sidney Castro de Abreu
  • Inderbir S. Gill
Part of the Current Clinical Urology book series (CCU)


At specialized centers worldwide, laparoscopic radical nephrectomy is now routine practice for management of indicated patients with localized renal cell carcinoma. Compared to open radical nephrectomy, the laparoscopic approach is associated with comparable operative time, decreased blood loss, superior recovery, improved cosmesis, and equivalent cancer control over a long-term follow-up (1–3).


Renal Artery Radical Nephrectomy Psoas Muscle Retroperitoneal Space Peritoneal Membrane 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Gill IS, Meraney AM, Schweizer DK, Savage SS, Hobart MG, Sung GT, et al. Laparoscopic radical nephrectomy in 100 patients: A single center experience from the United States. Cancer 2001; 92: 1843–1855.CrossRefPubMedGoogle Scholar
  2. 2.
    Colombo JR Jr, Haber GP, Aron M, Cocuzza M, Colombo R, Kaouk J, Gill IS. Oncological outcomes of laparoscopic radical nephrectomy for renal cancer. Clinics 2007 Jun; 62(3):251–256.PubMedGoogle Scholar
  3. 3.
    Hemal AK, Kumar A, Kumar R, Wadhwa P, Seth A, Gupta NP. Laparoscopic versus open radical nephrectomy for large renal tumors: a long-term prospective comparison. J Urol 2007 Mar; 177(3):862–866.CrossRefPubMedGoogle Scholar
  4. 4.
    Gill IS, Rassweiler JJ. Retroperitoneoscopic renal surgery: our approach. Urology 1999; 54, 734–738.CrossRefPubMedGoogle Scholar
  5. 5.
    Desai MM, Strzempkowski B, Matin SF, Steinberg AP, Ng C, Meraney AM, Kaouk JH, Gill IS. Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy. J Urol 2005 Jan;173(1):38–41.CrossRefPubMedGoogle Scholar
  6. 6.
    Gaur DD. Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol 1992; 148: 1137–1139.PubMedGoogle Scholar
  7. 7.
    Gill IS. Retroperitoneal laparoscopic nephrectomy. Urol Clin North Am 1998; 25: 343–360.CrossRefPubMedGoogle Scholar
  8. 8.
    Sung GT, Gill IS. Anatomic landmarks and time management during retroperitoneoscopic radical nephrectomy. J Endourol 1998; 16: 165–169.CrossRefGoogle Scholar
  9. 9.
    Gill IS, Schweizer D, Hobart MG, Sung GT, Klein EA, Novick AR. Retroperitoneal laparoscopic radical nephrectomy: the Cleveland Clinic experience. J Urol 2000; 163: 1665–1670.CrossRefPubMedGoogle Scholar
  10. 10.
    Chan D, Bishoff L, Ratner L, Kavoussi LR, Jarrett TW. Endovascular gastrointestinal stapler device malfunction during laparoscopic nephrectomy: early recognition and management. J Urol 2000; 164, 319–321.CrossRefPubMedGoogle Scholar
  11. 11.
    Urban DA, Kerbl K, McDougall EM. Organ entrapment and renal morcelation: permeability studies. J Urol 1993; 150: 1792–1794.PubMedGoogle Scholar
  12. 12.
    Kaouk JH, Gill IS. Laparoscopic nephrectomy: morcellate or leave intact. Rev Urol 2003.Google Scholar
  13. 13.
    Gill IS, Cherullo EE, Meraney AM, Borsuk F, Murphy DP, Falcone T. Vaginal extraction of the intact specimen following laparoscopic radical nephrectomy. J Urol 2002; 167: 238–241.CrossRefPubMedGoogle Scholar
  14. 14.
    Matin SF, Gill IS, Hsu TH, Sung TK, Novick AC. Laparoscopic renal and adrenal surgery in obese patients: comparison to open surgery. J Urol 1999; 162: 665–669.CrossRefGoogle Scholar
  15. 15.
    Cicco A, Salomon L, Hoznek H, Alame W, Saint F, Bralet MP, et al. Carcinological risks and retroperitoneal laparoscopy. Eur Urol 2000; 38: 606–612.CrossRefPubMedGoogle Scholar
  16. 16.
    Simmons MN, Kaouk J, Gill IS, Fergany A. Laparoscopic radical nephrectomy with hilar lymph node dissection in patients with advanced renal cell carcinoma. Urology 2007 Jul; 70(1):43–46.CrossRefPubMedGoogle Scholar

Copyright information

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

Authors and Affiliations

  • Andre Berger
    • 1
  • Sidney Castro de Abreu
    • 2
  • Inderbir S. Gill
    • 3
  1. 1.Department of Urology, Center for Laparoscopic and Robotic SurgeryGlickman Urological and Kidney Institute, Cleveland ClinicClevelandUSA
  2. 2.Section of Laparoscopy and EndourologyANDROS, Hospital Urológico de BrasiliaBrasiliaBrazil
  3. 3.Glickman Urological Institute, Cleveland Clinic FoundationClevelandUSA

Personalised recommendations