EVALUATION OF LAPAROSCOPIC RADICAL NEPHRECTOMY
Ahmed Mahmoud Shouman;
Abstract
SUMMARY:
To summarize our work, all patients with radiologicaly evident renal masses who were candidates for radical nephrectomy and were not candidates for nephron sparing surgery were subjected to transperitoneal laparoscopic radical nephrectomy. Patients with radiologicaly evident lymph node metastasis, > level I malignant renal vein thrombus and those with locally advanced disease or having distant metastasis were excluded from the study. Patients with any medical comorbidity contraindicating laparoscopic surgery were also excluded. Laparoscopic radical nephrectomy was evaluated in terms of operative feasibility, postoperative outcome and oncological safety.
During a period of about 2 years, fifteen patients with renal masses met our inclusion criteria and were subjected to laparoscopic transperitoneal radical nephrectomy. We favored the transperitoneal approach as we are familiar with the technique and there is more working space. All patients had pre-operative laboratory investigations; contrast enhanced abdominal C.T. and CXR. Operative time was 200 minutes on the average; estimated intra operative blood loss was 120 cc on the average and vascular control was achieved by using hem-o-lock clips and endo GIA stapler in most of our patients. Three patients had minor intra-operative
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To summarize our work, all patients with radiologicaly evident renal masses who were candidates for radical nephrectomy and were not candidates for nephron sparing surgery were subjected to transperitoneal laparoscopic radical nephrectomy. Patients with radiologicaly evident lymph node metastasis, > level I malignant renal vein thrombus and those with locally advanced disease or having distant metastasis were excluded from the study. Patients with any medical comorbidity contraindicating laparoscopic surgery were also excluded. Laparoscopic radical nephrectomy was evaluated in terms of operative feasibility, postoperative outcome and oncological safety.
During a period of about 2 years, fifteen patients with renal masses met our inclusion criteria and were subjected to laparoscopic transperitoneal radical nephrectomy. We favored the transperitoneal approach as we are familiar with the technique and there is more working space. All patients had pre-operative laboratory investigations; contrast enhanced abdominal C.T. and CXR. Operative time was 200 minutes on the average; estimated intra operative blood loss was 120 cc on the average and vascular control was achieved by using hem-o-lock clips and endo GIA stapler in most of our patients. Three patients had minor intra-operative
105
Other data
| Title | EVALUATION OF LAPAROSCOPIC RADICAL NEPHRECTOMY | Other Titles | استخدام منظار البطن فى الاستئصال الجذرى لاورام الكلى | Authors | Ahmed Mahmoud Shouman | Issue Date | 2011 |
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