Advertisement

Laparoscopic Partial Nephrectomy

  • Raid Abo-Kamil
  • Rizk El-Galley
Chapter
Part of the Medical Radiology book series (MEDRAD)

24.8 Conclusion

Laparoscopic partial nephrectomy is emerging as an attractive, minimally invasive nephron-sparing option for the management of select renal lesions. It is associated with less need for postoperative analgesia, earlier hospital discharge, and more rapid convalescence. Experience with LPN continues to grow. The technique is evolving and issues of hemostasis and renal ischemia are being further addressed in the laboratory. It should be performed by surgeons with considerable laparoscopic expertise at centers where there is frequent interaction between open and laparoscopic surgeons.

Keywords

Renal Artery Inferior Vena Cava Renal Vein Renal Tumor Partial Nephrectomy 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Assimos DG, Boyce H, Woodruff RD, Harrison LH, McCullough DL, Kroovand RL (1991) Intraoperative renal ultrasonography: a useful adjunct to partial nephrectomy. J Urol 146:1218–1220PubMedGoogle Scholar
  2. Bosniak MA (1991) Difficulties in classifying cystic lesions of the kidney. Urol Radiol 13:91–93PubMedCrossRefGoogle Scholar
  3. Bosniak MA (1994) How does one deal with a renal cyst that appears to be Bosniak class II on a CT scan but that has sonographic features suggestive of malignancy (e.g., nodularity of wall or a nodular, irregular septum)? Am J Roentgenol 163:216Google Scholar
  4. Bosniak MA (1986) The current radiological approach to renal cysts. Radiology 158:1–10PubMedGoogle Scholar
  5. Bosniak MA (1997) The use of the Bosniak classification system for renal cysts and cystic tumors. J Urol 157:1852–1853PubMedGoogle Scholar
  6. Coll DM, Uzzo RG, Herts BR, Davros WJ, Wirth SL, Novick AC (1999) Three-dimensional volume rendered computerized tomography for preoperative evaluation and intraoperative treatment of patients undergoing nephron sparing surgery. J Urol 161:1097–1102PubMedGoogle Scholar
  7. Fergany AF, Hafez KS, Novick AC (2000) Long term results of nephron sparing surgery for localized renal cell carcinoma: 10-year followup. J Urol 163:442–445PubMedGoogle Scholar
  8. Gettman MT, Bishoff JT, Su LM, Chan D, Kavoussi LR, Jarett TW, Cadeddu JA (2001) Hemostatic laparoscopic partial nephrectomy; initial experience with the radiofrequency coagulation-assisted technique. Urology 58:8–11PubMedCrossRefGoogle Scholar
  9. Gill IS, Desai MM, Kaouk JH, Meraney AM, Murphy DP, Sung GT, Novick AC (2002) Laparoscopic partial nephrectomy for renal tumor: duplicating open surgical techniques. J Urol 167:469–477PubMedGoogle Scholar
  10. Gill IS, Matin SF, Desai MM, Kaouk JH, Steinberg A, Mascha E, Thornton J, Sherief MH, Strzempkowski B, Novick AC (2003) Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. J Urol 170:64–68PubMedGoogle Scholar
  11. Guillonneau B, Bermudez H, Gholami S, El Fettouh H, Gupta R, Adorno Rosa J, Baumert H, Cathelineau X, Fromont G, Vallancien G (2003) Laparoscopic partial nephrectomy for renal tumor: single center experience comparing clamping and no clamping techniques of the renal vasculature. J Urol 169:483–486PubMedGoogle Scholar
  12. Harmon WJ, Kavoussi LR, Bishoff JT (2000) Laparoscopic nephron-sparing surgery for solid renal masses using the ultrasonic shears. Urology 56:754–759PubMedCrossRefGoogle Scholar
  13. Janetschek G, Jeschke K, Peschel R, Strohmeyer D, Henning K, Bartsch G (2000) Laparoscopic surgery for stage T1 renal cell carcinoma: radical nephrectomy and wedge resection. Eur Urol 38:131–138PubMedCrossRefGoogle Scholar
  14. Kim FJ, Rha KH, Hernandez F, Jarrett TW, Pinto PA, Kavoussi LR (2003) Laparoscopic radical versus partial nephrectomy: assessment of complications. J Urol 170:408–411PubMedCrossRefGoogle Scholar
  15. Koga S, Nishikido M, Inuzuka S, Sakamoto I, Hayashi T, Hayashi K, Saito Y, Kanetake H (2000) An evaluation of Bosniak’s radiological classification of cystic renal masses. BJU Int 86:607–609PubMedCrossRefGoogle Scholar
  16. Mazer MJ, Quaife MA (1979) Hypertrophied column of Bertin pseudotumor: radionuclide investigation. Urology 14:210–211PubMedGoogle Scholar
  17. McDougall EM, Elbahnasy AM, Clayman RV (1998) Laparoscopic wedge resection and partial nephrectomy: The Washington University experience and review of the literature. JSLS 2:15–23PubMedGoogle Scholar
  18. Mevorach RA, Segal AJ, Tersegno ME, Frank IN (1992) Renal cell carcinoma: incidental diagnosis and natural history: review of 235 cases. Urology 39:519–522PubMedCrossRefGoogle Scholar
  19. Rassweiler JJ, Abbou C, Janetschek G, Jeschke K (2000) Laparoscopic partial nephrectomy. The European experience. Urol Clin North Am 27:721–736PubMedCrossRefGoogle Scholar
  20. Schatz SM, Lieber MM (2003) Update on oncocytoma. Curr Urol Rep 4:30–35PubMedGoogle Scholar
  21. Shalhav Al, Leibovitch I, Lev R, Hoenig DM, Ramon J (1998) Is laparoscopic radical nephrectomy with specimen morcellation acceptable cancer surgery? J Endourol 12:255–257PubMedGoogle Scholar
  22. Simon SD, Ferrigni RG, Novicki DE, Lamm DL, Swanson SS, Andrews PE (2003) Mayo Clinic Scottsdale experience with laparoscopic nephron sparing surgery for renal tumors. J Urol 169:2059–2062PubMedGoogle Scholar
  23. Stifelman MD, Sosa RE, Nakada SY, Shichman SJ (2001) Handassisted laparoscopic partial nephrectomy. J Endoourol 15:161–164Google Scholar
  24. Thornbury JR, McCormick TL, Silver TM (1980) Anatomic/ radiologic classification of renal cortical nodules. Am J Roentgenol 134:1–7Google Scholar
  25. Winfield HN, Donovan JF, Lund GO, Kreder KJ, Stanley KE, Brown BP, Loening SA, Clayman RV (1995) Laparoscopic partial nephrectomy: initial experience and comparison to the open surgical approach. J Urol 153:1409–1414PubMedGoogle Scholar
  26. Yoshimura K, Okubo K, Ichioka K, Terada N, Matsua Y, Arai Y (2001) Laparoscopic partial nephrectomy with a microwave tissue coagulator for small renal tumor. J Urol 165:1893–1896PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Raid Abo-Kamil
    • 1
  • Rizk El-Galley
    • 2
  1. 1.Department of Surgery, Division of UrologyUniversity of Alabama School of Medicine at BirminghamBirminghamUSA
  2. 2.Department of Surgery, Division of UrologyUniversity of Alabama School of Medicine at BirminghamBirminghamUSA

Personalised recommendations