Laparoscopic radical nephrectomy: The Nagoya experience

被引:74
作者
Ono, Y [1 ]
Katoh, N [1 ]
Kinukawa, T [1 ]
Matsuura, O [1 ]
Ohshima, S [1 ]
机构
[1] SHAKAI HOHEN CHUKYO HOSP,KOMAKI,JAPAN
关键词
carcinoma; renal cell; nephrectomy; laparoscopy;
D O I
10.1016/S0022-5347(01)64300-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We evaluated the efficacy of laparoscopic radical nephrectomy for removing kidneys with small volume renal cell carcinoma. Materials and Methods: 25 patients (19 men and 6 women, mean age 59) who had a kidney with small volume renal cell carcinoma (diameter less than 5 cm.), underwent laparoscopic radical nephrectomy. The kidney was dissected laparoscopically together with the adrenal gland, perirenal fatty tissue and Gerota's fascia. In 11 patients, we used the transperitoneal approach and in the remaining 14 we used the retroperitoneal approach, in which a working space is created by finger and balloon dissection. We maneuvered the kidney into the laparoscopy sack, which was then removed through an additional 5 to 6 cm. incision. Results: All 25 kidneys were removed successfully. Mean operation time was 5.3 hours and mean estimated blood loss was 335 ml. There were 5 complications, including a patient who suffered an injury to the duodenum, which was treated by open duodenojejunostomy. Full convalescence occurred at an average 23 days. No metastatic disease, no local recurrence and no seeding at the port sites occurred during the followup of 7 to 49 months (mean, 22 months). Conclusions: Laparoscopic radical nephrectomy is recommended as a minimally invasive procedure for removing kidneys with small volume renal cell carcinoma.
引用
收藏
页码:719 / 723
页数:5
相关论文
共 18 条
[1]   LAPAROSCOPIC NEPHRECTOMY - INITIAL CASE-REPORT [J].
CLAYMAN, RV ;
KAVOUSSI, LR ;
SOPER, NJ ;
DIERKS, SM ;
MERETYK, S ;
DARCY, MD ;
ROEMER, FD ;
PINGLETON, ED ;
THOMSON, PG ;
LONG, SR .
JOURNAL OF UROLOGY, 1991, 146 (02) :278-282
[2]   LAPAROSCOPIC NEPHRECTOMY - AN ESTABLISHED ROUTINE PROCEDURE [J].
ERAKY, I ;
ELKAPPANY, H ;
SHAMAA, MA ;
GHONEIM, MA .
JOURNAL OF ENDOUROLOGY, 1994, 8 (04) :275-278
[3]   RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY - INITIAL CASE-REPORT [J].
GAUR, DD ;
AGARWAL, DK ;
PUROHIT, KC .
JOURNAL OF UROLOGY, 1993, 149 (01) :103-105
[4]   COMPLICATIONS OF LAPAROSCOPIC NEPHRECTOMY IN 185 PATIENTS - A MULTIINSTITUTIONAL REVIEW [J].
GILL, IS ;
KAVOUSSI, LR ;
CLAYMAN, RV ;
EHRLICH, R ;
EVANS, R ;
FUCHS, G ;
GERSHAM, A ;
HULBERT, JC ;
MCDOUGALL, EM ;
ROSENTHAL, T ;
SCHUESSLER, WW ;
SHEPARD, T .
JOURNAL OF UROLOGY, 1995, 154 (02) :479-483
[5]   LAPAROSCOPIC RADICAL NEPHRECTOMY FOR RENAL-CELL CARCINOMA - EARLY EXPERIENCE [J].
KATOH, N ;
ONO, Y ;
YAMADA, S ;
KINUKAWA, T ;
HATTORI, R ;
OHSHIMA, S .
JOURNAL OF ENDOUROLOGY, 1994, 8 (05) :357-359
[6]  
KATOH N, 1993, JAP J ENDOUROL ESWL, V6, P129
[7]   LAPAROSCOPIC NEPHRECTOMY FOR RENAL NEOPLASMS [J].
KAVOUSSI, LR ;
KERBL, K ;
CAPELOUTO, CC ;
MCDOUGALL, EM ;
CLAYMAN, RV .
UROLOGY, 1993, 42 (05) :603-609
[8]  
KERBL K, 1993, EUR UROL, V23, P431
[9]   Laparoscopic radical nephrectomy for renal tumor: The Washington University experience [J].
McDougall, EM ;
Clayman, RV ;
Elashry, OM .
JOURNAL OF UROLOGY, 1996, 155 (04) :1180-1185
[10]  
MCDOUGALL EM, 1994, UROLOGY, V43, P4456