LAPAROSCOPIC NEPHRECTOMY AND NEPHROURETERECTOMY IN THE OCTOGENARIAN WITH A RENAL TUMOR

Renal cell carcinoma and transitional cell carcinoma of the kidney usually occur after the fifth or sixth decade. In the elderly patient, a curative open nephrectomy may not be considered because of concerns over concomitant operative morbidity. Recently, there has been rapid adaptation of laparoscopy as an alternative to established open urologic surgical procedures. We present our experience with laparoscopic nephrectomy and nephroureterectomy for renal tumors in the octogenarian patient. Laparoscopic nephrectomy, in the elderly patient, albeit a lengthy procedure, affords the patient minimal postoperative discomfort, early alimentation, and a quick return to regular activities.