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Laparoscopic Radical Nephrectomy: Transperitoneal Approach

  • Leslie A. Deane
  • David I. Lee
  • Jaime Landman
  • Chandru P. Sundaram
  • Ralph V. Clayman
Part of the Current Clinical Urology book series (CCU)

Abstract

Radical nephrectomy, as described by Robson et al. in 1963, is the traditional gold standard approach to the management of renal tumors (1). This procedure has an established success rate but is associated with significant postoperative pain and prolonged convalescence, stemming from the flank, subcostal, Chevron or thoraco-abdominal incisions typically used. Laparoscopic radical nephrectomy, as introduced by Clayman and associates in 1991, has become a suitable alternative to open radical nephrectomy over the 16 years since this first reported case (2). It is equally efficacious for small- to medium-sized tumors which are deemed not amenable to partial nephrectomy and also for larger tumors, in some cases as large as 25 cm (authors’ experience) (3,4). Cases with renal vein and limited subhepatic inferior vena caval thrombus can also be managed laparoscopically in high volume centers with extensive experience (5–9).

Keywords

Laparoscopic radical nephrectomy Transperitoneal Kidney cancer Renal cell carcinoma Laparoscopy 

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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

  • Leslie A. Deane
    • 1
  • David I. Lee
    • 2
  • Jaime Landman
    • 3
  • Chandru P. Sundaram
    • 4
  • Ralph V. Clayman
    • 5
  1. 1.Department of UrologyUniversity of California, IrvineOrangeUSA
  2. 2.Division of UrologyUniversity of Pennsylvania School of MedicinePhiladelphiaPennsylvania
  3. 3.Department of UrologyColumbia University Medical CenterNew YorkUSA
  4. 4.Department of UrologyIndiana University School of MedicineIndianapolisUSA
  5. 5.Department of UrologyUniversity of California at IrvineOrangeUSA

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