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Medicina (Kaunas) 2020 Jun 26;56(6). Epub 2020 Jun 26.

Department of Surgical and Biomedical Sciences, Urology Clinic of Perugia, Perugia University, 06100 Perugia, Italy.

With the widespread use of imaging modalities performed for the staging of prostate cancer, the incidental detection of synchronous tumors is increasing in frequency. Robotic surgery represents a technical evolution in the treatment of solid tumors of the urinary tract, and it can be a valid option in the case of multi-organ involvement. We reported a case of synchronous prostate cancer and bifocal renal carcinoma in a 66-year-old male. Read More

J Nippon Med Sch 2020 May 30. Epub 2020 May 30.

Department of Urology, Nippon Medical School Hospital.

Background: While high body mass index (BMI) and visceral obesity are reportedly associated with a prolonged duration of laparoscopic radical nephrectomy (LRN) via the transperitoneal approach, factors that might prolong the retroperitoneal approach remain unknown. We therefore investigated factors associated with prolonged LRN using a retroperitoneal approach applied by non-expert surgeons.

Methods: We defined surgeons who were not certified to perform laparoscopic surgery by the Japanese Society of Endourology as non-experts. Read More

Actas Urol Esp 2020 03 18;44(2):119-124. Epub 2019 Dec 18.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, EE. UU.. Electronic address:

Introduction: To present the first case of a concomitant robotic radical prostatectomy and a left robotic partial nephrectomy performed by a single-port approach using the SP® da Vinci surgical system (Intuitive Surgical, Sunnyvale CA, EE.UU.). Read More

Arch Esp Urol 2019 Nov;72(9):926-932

Department of Urology. Gazi University School of Medicine Ankara. Turkey.

Objectives: We aim to present and analyze the long term results of descending transperitoneal laparoscopic nephrectomy (TLN) technique (Tunc technique).

Methods: A total of 308 patients that underwent descending TLN were included to the study between January 2011 and March 2018. Mean operation time, mean estimated blood loss, duration of hospital stay, complications, mean tumor size, and pathologic margin status were analyzed. Read More

Urology 2019 Sep 13;131:130-135. Epub 2019 Jun 13.

Department of Urology, the Second Hospital of Dalian Medical University, Dalian, Liaoning, China. Electronic address:

Objective: To address the incidence and potential risk factors of port site metastasis (PSM) in patients who underwent laparoscopic radical nephroureterectomy (RNU) for upper tract urothelial carcinoma.

Materials And Methods: Between January 2013 and December 2018 laparoscopic RNU were performed in 240 patients at our institution, including 145 with renal pelvic tumor and 135 with ureteral tumor (40 patients have both tumor). Laparoscopies were performed through the transperitoneal approach in 28 patients, and retroperitoneal in 212 patients. Read More

Urology 2019 Jul 5;129:235. Epub 2019 Apr 5.

Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.

Objective: To show how to perform a robot-assisted partial nephrectomy and bilateral pyelolithotomy in ectopic pelvic kidneys. This is a congenital abnormality of position and rotation frequently associated with urolithiasis. Renal cell carcinoma is a very rare event in pelvic kidneys. Read More

Minerva Urol Nefrol 2019 Jun 28;71(3):294-298. Epub 2019 Jan 28.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

The initial experience with urological robotic interventions performed by using the Da Vinci SP® robotic surgical platform (Intuitive Surgical, Sunnyvale, CA, USA) during the first month (September 28th to October 30th, 2018) after the system was installed at our institution is reported herein. The aim of the study was to determine the feasibility and the safety of major urologic procedures as measured by the rate of conversions and the incidence of perioperative complications. Secondary aims of the study consisted of key perioperative surgical outcomes including operative time, blood loss, and length of stay. Read More

Minerva Urol Nefrol 2019 Feb 2;71(1):9-16. Epub 2019 Jan 2.

Department of Urology, Sant'Andrea Hospital, Sapienza University, Rome, Italy.

Introduction: In the past years, several authors have focused on the role of retroperitoneoscopic laparoscopy in the treatment of urological diseases. Aim of our study is to systematically review the available literature on retro-peritoneoscopic laparoscopy in urology.

Evidence Acquisition: A systematic review of the literature using the Medline, Scopus, and Web of Science databases for relevant articles published until June 2018 was performed using both the Medical Subjects Heading and free test protocols. Read More

Asian J Endosc Surg 2019 Oct 2;12(4):429-433. Epub 2018 Dec 2.

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

Introduction: Laparoscopic radical nephrectomy is the gold standard for treatment of renal cell carcinoma. However, previous abdominal surgery is generally regarded as a contraindication to the laparoscopic approach because it causes intraperitoneal adhesions, which are thought to interfere with subsequent laparoscopic procedures inside the abdominal cavity. Few studies have examined the influence of prior surgery on laparoscopic nephrectomy. Read More

Urologia 2020 May 25;87(2):86-90. Epub 2018 Sep 25.

Ospedale Carlo Urbani, Jesi, Italy.

Renal cell carcinoma with inferior cava thrombus indicates biologically aggressive cancer, so the complete surgical resection remains standard of care with best long-term outcomes. Laparoscopic radical nephrectomy with vena cava thrombectomy represents nowadays a mini-invasive surgical alternative to the classic open nephrectomy. We present the case of a patient with incidental diagnosis of a right renal mass with level II inferior cava thrombus completely managed with both retroperitoneal and transperitoneal approaches. Read More

Urology 2018 Nov 28;121:97-103. Epub 2018 Aug 28.

Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, Nanjing, Jiangsu, People's Republic of China. Electronic address:

Objective: To compare perioperative results and early oncological outcomes of endoscopic robot-assisted simple enucleation (ERASE) and laparoscopic simple enucleation (LSE) by using a propensity score-matched analysis.

Methods: We evaluated 383 patients who underwent transperitoneal ERASE or LSE for renal tumors from November 2012 to October 2016. Propensity score matching was performed on age, gender, body mass index, Eastern Cooperative Oncology Group score, tumor side and size, preoperative estimated GFR and PADUA score. Read More

J Laparoendosc Adv Surg Tech A 2019 Jan 13;29(1):35-39. Epub 2018 Jul 13.

2 Department of Urology, Uludag University, School of Medicine, Bursa, Turkey.

Background: We aimed to report surgical and oncological outcomes of renal cell carcinoma (RCC) patients with level I and II thrombus treated with laparoscopic transperitoneal radical nephrectomy.

Patients And Methods: Medical records of 13 patients were reviewed retrospectively in a single center between 2005 and 2017. Hem-o-lok clips were used to secure renal artery and renal vein, excluding 2 patients with an attached thrombus on the right side. Read More

Minerva Urol Nefrol 2018 Aug 3;70(4):414-421. Epub 2018 Jul 3.

Department of Urology, Denver Health Medical Center, Denver, CO, USA.

Background: There is no clear consensus as to the optimal method of entry in laparoscopic renal surgery and no reports have compared them in Urology. To analyze contemporary practice patterns in entry technique and port placement for laparoscopic kidney surgery.

Methods: We identified 60 high volume urological laparoscopic centers. Read More

J Endourol 2018 09 3;32(9):837-842. Epub 2018 Aug 3.

1 Urology Department, Iuliu Hatieganu University of Medicine and Pharmacy , Cluj-Napoca, Romania .

Objective: To present our technique and initial results of dual combined retroperitoneal and transperitoneal laparoscopic approach for the treatment of renal-cell carcinoma (RCC) with level 0-II venous tumor thrombus.

Patients And Methods: We included nine consecutive patients with RCC and level 0-II inferior vena cava (IVC) thrombus who underwent laparoscopic radical nephrectomy and IVC thrombectomy using dual combined laparoscopic approach in our department between January 2016 and June 2017.

Results: The mean operative time was 150 minutes when cavotomy was not performed and 240 minutes when cavotomy with thrombectomy was required. Read More

J Pediatr Urol 2018 08 12;14(4):327.e1-327.e7. Epub 2018 Apr 12.

Urology Department, Royal Children's Hospital, Parkville, Victoria, Australia.

Background: To reduce long-term morbidity (adhesions-related complications and impaired quality of life due to scars), laparoscopy has been used as an alternative to open surgery in Wilms tumours (WTs). However, concerns have been raised on the risk of local recurrence after this type of resection.

Objective: The aim was to determine the incidence of local recurrence after laparoscopic transperitoneal radical nephrectomy (LTRN). Read More

Actas Urol Esp 2018 Mar 30. Epub 2018 Mar 30.

MRC Centre for Transplantation, King's College London, Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, Londres, Reino Unido. Electronic address:

Introduction: Laparoscopic radical nephrectomy(LRN) is a cornerstone in managing renal cancer and small renal masses. Twenty-first century surgical training faces challenges, thus must be efficient and safe so surgeons attain relevant skills, protecting patients and operative outcomes. This study aimed to systematically develop a tool for training and assessment in LRN and validate the developed tool for use by trainee urologists. Read More

Cent European J Urol 2017 7;70(3):320. Epub 2017 Sep 7.

Department of Urology & Renal Transplant,VMMC & Safdarjung Hospital, New Delhi, India.

Jpn J Clin Oncol 2017 Oct;47(10):976-980

Keio University School of Medicine, Department of Urology, Tokyo, Japan.

Objective: It is considered that laparoscopic single-site surgery should be performed by specially trained surgeons because of the technical difficulty in using special instruments through limited access. We investigated suitable patients for single-port laparoscopic radical nephrectomy, focusing on the anatomy and distribution of the renal artery and vein.

Methods: This retrospective study was conducted in 52 consecutive patients who underwent single-port radical nephrectomy by the transperitoneal approach. Read More

Int Braz J Urol 2017 Sep-Oct;43(5):857-862

Department of Urologic Surgery, The E. Wolfson Medical Center, Holon and Sackler School of Medicine Tel Aviv University, Tel Aviv, Israel.

Purpose: To assess and report the outcomes of laparoscopic partial nephrectomy )LPN) for T2 renal masses.

Materials And Methods: Retrospective review of patients undergoing LPN for clinically localized renal masses ≥7cm between the years 2005-2016. Descriptive analyses were generated for demographics, lesion characteristics, perioperative variables (operative time, warm ischemia time (WIT), estimated blood loss (EBL), intra-operative and post-operative complications (IOC and POC) and pathologic variables (pathology, subtype and Fuhrman grade). Read More

Can Urol Assoc J 2017 Mar-Apr;11(3-4):131-135

Division of Urology, Departments of Surgery, Centre Hospitalier Universitaire de Sherbrooke, Université de Sherbrooke, Sherbrooke, QC, Canada.

Introduction: We aimed to assess the effect of previous abdominal surgery on perioperative outcomes in patients undergoing transperitoneal laparoscopic partial (LPN) or radical (LRN) nephrectomy for renal masses.

Methods: We retrospectively reviewed all cases of LPN and LRN for renal masses at our institution between 2008 and 2014. Patients were divided in two groups, those with and without prior abdominal surgery. Read More

Case Rep Surg 2017 30;2017:5128246. Epub 2017 Mar 30.

Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.

Internal herniation following laparoscopic surgery is rare. We present a case of small bowel obstruction secondary to internal herniation in a 76-year-old male patient. Presentation was on postoperative day 28 following transperitoneal laparoscopic radical left nephrectomy for suspected renal carcinoma. Read More

Urol Case Rep 2017 May 1;12:20-22. Epub 2017 Mar 1.

Clinic of Urology, Okmeydani Training and Research Hospital, Istanbul, Turkey.

We report an unusual case of pancreatic fistula after transperitoneal laparoscopic left radical nephrectomy. A 43 years old male patient presented with severe abdominal pain and abdominal distension 71 day after the surgery. Computerized tomography (CT) demonstrated a large fluid collection in the operated renal fossa. Read More

Urologiia 2016 Dec(6):84-88

Volgograd Regional Center for Uronephrology.

Introduction: Although laparoscopic radical nephrectomy has confidently established itself as the "gold standard" for treating renal cell carcinoma, reports on laparoscopic level II-III inferior vena cava (IVC) tumor thrombus thrombectomy are still lacking.

Materials And Methods: From September 2013 through April 2015, three patients with renal cell carcinoma and level II IVC tumor thrombi underwent laparoscopic radical nephrectomy with IVC thrombectomy using a retroperitoneal approach. Tumor sized 10, 8, and 9 cm in the greatest dimension, the length of the IVC thrombi in proximal direction were 2. Read More

Urologiia 2016 Apr(2):67-70

Department of Urology, Azerbaijan Medical University, Baku, Azerbaijan.

Objective: Evaluation of retrospective results of treatment of patients with kidney cancer, who have undergone a laparoscopic or a retroperitoneoscopic radical nephrectomy.

Materials And Methods: We have conducted a retrospective analysis of 185 patients with kidney tumour, who have undergone a laparoscopic or a retroperitoneoscopic radical nephrectomy during 2010-2015. Amongst the participants there were 116 men (62. Read More

J Laparoendosc Adv Surg Tech A 2017 Apr 24;27(4):393-397. Epub 2017 Feb 24.

Department of Urology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea , Suwon-si, Korea.

Purpose: To describe our technique for retroperitoneal laparoscopic radical nephrectomy (LRN) and to present the perioperative outcomes of our retroperitoneal LRN series for large (>7 cm) solid renal tumors and to compare them with those of the transperitoneal approach.

Materials And Methods: A retrospective chart review was performed for patients who had undergone LRN for a solid renal tumor greater than 7 cm in size on computed tomography (CT) scans between June 2008 and January 2016. Perioperative outcomes were compared between transperitoneal and retroperitoneal approaches. Read More

Georgian Med News 2016 Oct(259):10-17

Azerbaijan Medical University, Department of Urology; Istanbul University, Department of Urology, Turkey.

Aim - retrospective comparative analysis of results of laparoscopic partial nephrectomy (LPN) depending on the type of access and the size of the tumor. The study included 170 patients undergoing LPN during the period from 2010 to 2015 years. Among the patients was 108 males (63. Read More

Cent European J Urol 2016 16;69(3):271-273. Epub 2016 Sep 16.

Department of Internal Medicine and Gerontology, Jagiellonian University, Cracow, Poland.

Surgery in patients with hemophilia is a serious challenge. It requires a comprehensive approach, as well as careful postoperative monitoring. We present here the first case of a transperitoneal laparoscopic radical nephrectomy (TLRN) for renal cell carcinoma, of the clear-cell type, performed in a hemophilia B patient. Read More

Int J Urol 2017 01 4;24(1):69-74. Epub 2016 Oct 4.

Department of Urology, Oita University, Oita, Japan.

Objective: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan.

Methods: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. Read More

Urology 2016 Nov 22;97:e23-e24. Epub 2016 Aug 22.

Department of Urology, Ygia Polyclinic Private Hospital, Limassol, Cyprus. Electronic address:

A 55-year-old male presented with mild abdominal discomfort. On physical examination, a right upper quadrant abdominal mass was palpable and an obstructed right varicocele was evident. Ultrasonography and computed tomography revealed a 15 cm right renal tumor with a 2 cm aortocaval lymph node. Read More

BMC Anesthesiol 2016 07 22;16(1):42. Epub 2016 Jul 22.

Anesthesia Department of Xinjiang Medical University Affiliated Tumor Hospital, No. 789, Suzhoudong Road, Urumqi, 830011, Xinjiang, China.

Background: Adequate operation interspace is the premise of laparoscopy, and carbon dioxide (CO2) was an ideal gas for forming lacuna. A retroperitoneal space is used to form operation interspace in retroperitoneal laparoscopic radical nephrectomy by making ballooning, and the retroperitoneal space has no relative complete and airtight serous membrane, therefore CO2 absorption may be greater in retroperitoneal than transperitoneal laparoscopic radical nephrectomy. Excess CO2 absorption may induce hypercapnemia and further cause physiopathological change of respiratory and circulatory system. Read More

Eur Urol 2017 04 12;71(4):643-647. Epub 2016 Jul 12.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Background: Robotic single-site retroperitoneal renal surgery has the potential to minimize the morbidity of standard transperitoneal and multiport approaches. Traditionally, technological limitations of non-purpose-built robotic platforms have hindered the application of this approach.

Objective: To assess the feasibility of retroperitoneal renal surgery using a new purpose-built robotic single-port surgical system. Read More

Turk J Urol 2016 Jun;42(2):70-3

Department of Urology, Gazi University School of Medicine, Ankara, Turkey.

Objective: To evaluate our complications in renal and adrenal transperitoneal laparoscopic surgeries with Clavien-Dindo classification.

Material And Methods: Two hundred and eight patients to whom renal and adrenal laparoscopic surgeries were performed between January 2008 and June 2015 were included the study. One hundred and twenty one (58. Read More

Surg Endosc 2016 12 29;30(12):5537-5541. Epub 2016 Apr 29.

Department of Urology, The Second Xiangya Hospital of Central South University, Renmin Road, Changsha, Hunan, China.

Background: Radical nephroureterectomy is considered as the gold standard for the surgical treatment of upper urinary tract urothelial carcinoma (UTUC). Laparoscopic radical nephroureterectomy (LNU) can be performed via the transperitoneal (TLNU) or retroperitoneal (RLNU) approach, and each one has its own advantages and limitations. Our study was conducted to describe the difference between TLNU and RLNU by comparing the perioperative outcomes. Read More

J Endourol 2016 06 26;30(6):619-23. Epub 2016 Apr 26.

1 Division of Urology, San Luigi Gonzaga Hospital , Orbassano, Italy .

Looking for a virtually "scarless" surgery mini-laparoscopy (ML) could be a viable alternative to conventional laparoscopy. ML is a reproducible technique and allows for the preservation of the triangulation concept, the cornerstone of laparoscopic surgery. Drawback of ML could be the poor performance of miniaturized instruments that could affect the confidence of the surgeon and limit the indications. Read More

Scand J Urol 2016 Aug 29;50(4):305-12. Epub 2016 Feb 29.

a Hospital Clinic of Barcelona, University of Barcelona , Barcelona , Spain.

Objective The aims of this study were to identify clinical, intraoperative and pathological prognostic factors for predicting extraurothelial recurrence and cancer-specific survival (CSS) in patients with upper urinary tract urothelial carcinoma (UTUC) who had undergone laparoscopic radical nephroureterectomy (LRNU), and to investigate the site-specific patterns of recurrence and the associated outcomes. Materials and methods A retrospective revision was undertaken of 117 consecutive patients who had undergone transperitoneal LRNU for UTUC between 2007 and 2012. Univariate and multivariate Cox regression analyses were used to identify prognostic factors and Kaplan-Meier was used to estimate CSS. Read More

Cancer Control 2015 Jul;22(3):291-300

Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA.

Background: Minimally invasive surgical techniques have revolutionized the surgical management of kidney cancer. Current evidence suggests that the surgical developments gained by traditional laparoscopy have been advanced by the robotic platform, particularly as it has been applied to techniques for nephron preservation.

Methods: The medical literature from peer-reviewed journals was reviewed to evaluate the feasibility and efficacy of robotic-assisted surgery in the management of renal cell carcinoma. Read More

Urol Int 2017 5;99(3):367-369. Epub 2015 Aug 5.

Department of Urology, University of Debrecen, Debrecen, Hungary.

The authors present their renal tumor cases observed during pregnancy and review the literature related to this topic. Between January 1, 2000 and January 1, 2015, altogether 3 patients were treated for renal tumor during pregnancy. Two of them had surgery performed during pregnancy, while in the other, premature birth of the baby preceded surgery. Read More

Clinics (Sao Paulo) 2015 Jul 1;70(7):475-80. Epub 2015 Jul 1.

Department of Urology, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia.

Objectives: To evaluate the intra- and postoperative outcomes of patients undergoing laparoscopic radical nephrectomy with intact specimen extraction through a Pfannenstiel transverse suprapubic incision.

Methods: Prospective follow-up of 26 laparoscopic transperitoneal radical nephrectomies for suspected renal tumors in which the kidneys were extracted via a Pfannenstiel lower abdominal transverse incision.

Results: The mean operating time was 152. Read More

J Endourol 2015 Aug 11;29(8):913-8. Epub 2015 May 11.

3 McMaster Institute of Urology, St. Joseph's Healthcare, McMaster University , Hamilton, Ontario, Canada .

Purpose: To compare intra- and postoperative outcome of patients undergoing laparoscopic radical nephrectomy with intact specimen extraction through a Pfannenstiel (PFN) transverse suprapubic or expanded port site (EPS) incision in a prospective randomized fashion.

Patients And Methods: Patients undergoing laparoscopic transperitoneal radical nephrectomies for suspected renal tumors were randomized for intact renal specimen extraction via a PFN or EPS incision. Operative, perioperative, 1 week, 6 weeks, and 6 months postoperative parameters were prospectively recorded and analyzed including specimen weight, size in maximum diameter, incision length, total operative time, extraction time, estimated blood loss, length of hospital stay, pain score in the postoperative holding area and on the first post operative day, narcotic consumption, time to fluid intake/full diet intake, unassisted ambulation, cosmesis, and wound-related complications. Read More

J Endourol 2015 May 7;29(5):595-603. Epub 2015 Jan 7.

1 Academic Section of Urology, Division of Imaging and Technology, Ninewells Hospital and School of Medicine, University of Dundee , Dundee, Scotland, United Kingdom .

Purpose: This study evaluated face, content, construct validity, and reliability of Thiel embalmed cadavers (TEC) as a training tool for transperitoneal laparoscopic nephrectomy (TLN).

Materials And Methods: The study participants were prospectively recruited through an advanced laparoscopic renal resection teaching skill course. The participants were grouped into: nonexperts (performed fewer than 50 TLNs) and experts (performed more than 50 TLNs). Read More

Can J Urol 2014 Oct;21(5):7487-95

Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.

Introduction: The role of laparoscopic radical nephrectomy (LRN) in the management of very large renal masses has yet to be determined. Moreover, no studies have considered the total size of the specimen removed. We report our experience managing renal masses ≥ 10 cm with transperitoneal LRN. Read More

Int J Clin Exp Pathol 2014 15;7(8):5271-9. Epub 2014 Jul 15.

Department of Pathology, School of Medicine, Sifa University Izmir, Turkey.

Background: The multilocular cystic nephroma (MLCN) is a unilateral cystic neoplasm of the kidney exhibiting benign biological behavior. The etiology and histopathogenesis of the disease is controversial (dysplastic/hamartomous/neoplastic). MLCNs show bimodal age distribution, with peak incidence occurring at 2-4 years of age and between the fourth and sixth decades. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2014 Aug;46(4):638-41

Department of Urology, Peking University Third Hospital, Beijing 100191, China.

Objective: To evaluate the efficacy and safety of transperitoneal laparoscopic radical nephrectomy with the modified Pfannenstiel incision.

Methods: Between Aug. 2012 and Jul. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2014 Aug;46(4):537-40

Department of Urology, Peking University First Hospital; Institute of Urology, Peking University; National Urological Cancer Center, Beijing 100034, China.

Objective: To explore the technique of vascular control in transperitoneal laparoscopic nephrectomy.

Methods: From May 2010 to September 2013, 191 consecutive transperitoneal laparoscopic nephrectomies were performed by a single surgeon. The operations included 116 radical nephrectomies, 57 nephroureterectomies, and 18 simple nephrectomies. Read More

Int Braz J Urol 2014 Mar-Apr;40(2):266-73

Department of Urology, Beijing Chao-yang Hospital, Beijing Chaoyang, Beijing, China.

The surgical management with laparoscopic technique for renal cell carcinoma with inferior vena cava tumor thrombus (IVTT) remains challenging and technically demanding in urological oncology. We present two patients with level II IVTT that were managed with pure conventional laparoscopic radical nephrectomy and thrombectomy. Two patients were diagnosed with a renal tumor with level II IVTT from December 2011 to January 2012. Read More

Int Urol Nephrol 2014 Sep 7;46(9):1757-60. Epub 2014 May 7.

Department of Urology, Péterfy Sándor Hospital, Péterfy Sándor Str. 8-20, Budapest, 1074, Hungary,

Purpose: To demonstrate the beneficial results of hand-assisted laparoscopic tumor nephrectomy in pregnancy and to emphasize the proper timing of such surgery for its crucial importance attempting to avoid fatal cancer-related outcomes as a result of late interventions of aggressive tumors.

Methods: A report of a 32-year-old woman with a 61 × 41 mm chromophobe renal cell carcinoma (RCC) successfully treated with laparoscopic transperitoneal hand-assisted nephrectomy during the 20th week of gestation is presented.

Results: The fetus was stable during the intervention; the postoperative period was uneventful; she had a normal vaginal delivery at term and gave birth to a healthy female child. Read More

Surg Laparosc Endosc Percutan Tech 2014 Feb;24(1):80-4

*Department of Urology, Çubuk Halil Şivgin State Hospital †Department of Urology, Gazi University §Department of Urology, Koru Hospital, Ankara ‡Department of Urology, Görele State Hospital, Giresun, Turkey.

Our aim was to evaluate the risk of arteriovenous fistula (AVF) formation after en bloc stapling of the renal hilum during transperitoneal laparoscopic nephrectomies (LNs). A retrospective review of 35 laparoscopic simple or radical nephrectomies or LNs was carried out. Patients were clinically followed up for renal hilar AVF formation, which could lead to new onset diastolic hypertension, abdominal murmur, and congestive heart failure. Read More

Chin Med J (Engl) 2014 ;127(2):279-83

Department of Urology, Peking University Third Hospital, Beijing 100191, China.

Background: Laparoendoscopic single-site (LESS) surgery represents a technique to further reduce morbidity and scarring associated with surgery. We present our preliminary experience with transperitoneal LESS radical nephrectomy (RN) using a home-made single-port device in China.

Methods: From July 2010 to November 2011, eleven patients with renal tumor not greater than T2 underwent LESS-RN by an experienced laparoscopic surgeon. Read More

Int Braz J Urol 2013 Jul-Aug;39(4):604-5

Urology Department, Edson Ramalho Military Police Hospital, João Pessoa, PB, Brazil.

Introduction: Horseshoe Kidneys are the most common renal fusion anomaly. When surgery is contemplated for renal-cell carcinoma in such kidneys, aberrant vasculature and isthmusectomy are the major issues to consider. We describe a case of a pure laparoscopic radical heminephrectomy with hand-sewn management of the isthmus for a 11 cm tumour in a horseshoe kidney. Read More

Urology 2013 Aug 29;82(2):485-8. Epub 2013 May 29.

Department of Uro-oncology, Maxima Medical Center, The Netherlands.

Objective: To report the first case of a left transperitoneal laparoscopic nephrectomy in a patient with a severe left convex lumbar scoliosis and to elaborate on the technical difficulties of this procedure.

Methods: The surgical procedure was performed by an experienced laparoscopic surgeon after rigorous pre-operative visualization of the altered visceral and vascular abdominal anatomy. A transperitoneal laparoscopic approach with an open introduction technique according to Hasson and a caudo-cranial dissection of the left renal hilum were performed to prevent major vascular and visceral injury in this challenging surgical procedure. Read More