Retroperitoneal iaparoscopic partial nephrectomy(report of 23 cases)
- VernacularTitle:后腹腔镜下肾部分切除术23例报告
- Author:
Shuo WANG
;
Qi-Meng LI
;
Dan XIA
;
Zhi-Gen ZHANG
;
Bai-Hua SHEN
;
Bai-Ye JIN
;
Ge-Ming CHEN
;
Dan-Bo FANG
;
Li-Ping XIE
;
Song-Liang CAI
;
Shifang SHI
;
Kexiang WEI
;
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Partial nephrectomy
- From:
Chinese Journal of Urology
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report initial experience and the indications of retroperitoneal laparoscop- ic partial nephrectomy.Methods From December 2001 to October 2005,23 patients (including 14 cases of renal cell carcinoma,5 of hamartoma and 4 of duplex kidney) underwent retroperitoneal laparoscopic par- tial nephrectomy.One of the patients had solitary kidney.Results All the operations were successful ex- cept for only 1 requiring conversion to laparoscopic nephrectomy because of bleeding resulting from blocking anterior branch of renal artery.The mean operative time was 121 min (60-240 min),and mean ischemic time was 32 min (20-55 min).The estimated bleeding volume ranged from 100 ml to 300 ml,and no pa- tient needed blood transfusion.Pathology showed negative surgical margins in 14 cases of renal cell carcinoma and confirmed the diagnosis of hamartoma in 5 cases.One patient with duplex kidney required open partial nephrectomy because of renal cystic mass resulting from incomplete resection.Conclusions Retroperito- neal laparoscopic partial nephrectomy offers a new effective and minimally invasive treatment for selected pa- tients with renal mass.The long-term effects of the procedure need further investigation.
