221 results match your criteria Transperitoneal Laparoscopic Radical Nephrectomy

Laparoscopic versus open partial nephrectomy for the management of highly complex renal tumors with PADUA score ⩾10: A single center analysis.

Urologia 2021 Mar 16:3915603211001677. Epub 2021 Mar 16.

Department of Urology, A.O.R.N. A. Cardarelli, Naples, Italy.

Introduction: The aim of this study was to compare laparoscopic and open partial nephrectomy (PN) for renal tumors of high surgical complexity (PADUA score ⩾10).

Methods: We retrospectively evaluated 93 consecutive patients who underwent PN at our department from January 2015 to September 2019. 21 patients underwent open partial nephrectomy (OPN) (Group A) and 72 underwent laparoscopic partial nephrectomy (LPN) (Group B). Read More

View Article and Full-Text PDF

Unusual giant chromophobe renal cancer totally managed with laparoscopic technique: Report of a case.

Int J Surg Case Rep 2020 19;77S:S48-S51. Epub 2020 Oct 19.

Department of Surgical, Oncological and Oral Sciences, Section of General and Urgent Surgery, University of Palermo, Italy. Electronic address:

Introduction: Chromophobe carcinoma of the kidney is a rare pathological entity generally smaller and asymptomatic than other renal cell carcinomas and with a lower risk of metastatic disease. We describe a case of a giant renal chromophobe carcinoma successfully treated by laparoscopy.

Case Report: A 37-years-old Caucasian man presented at physical examination a rigid elastic mass in right upper abdominal quadrant. Read More

View Article and Full-Text PDF
October 2020

Laparoscopic cytoreductive nephrectomy and adrenalectomy for metachronous RCC metastases-Case report.

Int J Surg Case Rep 2020 29;74:268-272. Epub 2020 Aug 29.

"Prof. Dr. Ion Chiricuta" Institute of Oncology, Department of Anatomic Pathology, Republicii Street No. 34-36, 400015, Cluj-Napoca, Romania. Electronic address:

Introduction: We report the case of a 69 y.o. man with a left solitary kidney presenting 3 tumoral masses and suspicion of a left adrenal nodular tumor. Read More

View Article and Full-Text PDF

Laparoscopic and Robotic-Assisted Partial Nephrectomy: An Overview of Hot Issues.

Urol Int 2020 6;104(9-10):669-677. Epub 2020 Aug 6.

Department of Urology, Shengjing Hospital of China Medical University, Shenyang, China,

Laparoscopic partial nephrectomy and robot-assisted partial nephrectomy are attracting increased attention from urologists. They can achieve the same effect of oncology control as radical nephrectomy; moreover, they can offer better preservation of renal function, thus obtaining long-term living benefits. The indications are also expanding, making it possible for larger and more difficult tumors. Read More

View Article and Full-Text PDF

Combined Robotic Surgery for Double Renal Masses and Prostate Cancer: Myth or Reality?

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

View Article and Full-Text PDF

Modified transperitoneal versus retroperitoneal laparoscopic radical nephroureterectomy in the management of upper urinary tract urothelial carcinoma: Best practice in a single center with updated results.

J Int Med Res 2020 Jun;48(6):300060520928788

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

Objective: Radical nephroureterectomy remains the gold standard for the surgical treatment of upper urinary tract urothelial carcinoma (UTUC). Based on previous research, we prospectively compared the advantages of transperitoneal laparoscopic radical nephroureterectomy (TLNU) with a three-port technique in a single position versus retroperitoneal laparoscopic radical nephroureterectomy (RLNU).

Methods: We evaluated 48 patients diagnosed with UTUC at our institution from January 2015 to October 2019. Read More

View Article and Full-Text PDF

Factors Associated with Prolonged Retroperitoneal Laparoscopic Radical Nephrectomy Performed by Non-expert Surgeons.

J Nippon Med Sch 2021 May 30;88(2):109-112. Epub 2020 May 30.

Department of Urology, Nippon Medical School Hospital.

Background: High body mass index (BMI) and visceral obesity were reported to be associated with prolonged transperitoneal laparoscopic radical nephrectomy (LRN); however, factors that prolong retroperitoneal LRN remain unknown. We therefore investigated factors associated with prolonged retroperitoneal LRN performed by non-expert surgeons.

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

View Article and Full-Text PDF

Single-port robotic partial and radical nephrectomies for renal cortical tumors: initial clinical experience.

J Robot Surg 2020 Oct 7;14(5):773-780. Epub 2020 Feb 7.

Department of Urology, University of Alabama at Birmingham, Faculty Office Tower 1107; 510 20th Street South, Birmingham, AL, 35294, USA.

To describe our institution's initial experience with radical (RN) and partial nephrectomy (PN) using the SP robotic system. The recent FDA approval of the da Vinci SP robotic platform has led to its use in minimally invasive approaches to urologic malignancies. There are little data on its feasibility and safety after implementation for radical and partial nephrectomy. Read More

View Article and Full-Text PDF
October 2020

Multiquadrant Combined Robotic Radical Prostatectomy And Left Partial Nephrectomy: A Combined procedure by A Single Approach.

Actas Urol Esp (Engl Ed) 2020 Mar 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

View Article and Full-Text PDF

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma.

J Vis Exp 2019 11 22(153). Epub 2019 Nov 22.

Graduate School of Peking Union Medical College, Beijing Hospital; Beijing Hospital, National Center of Gerontology, The Joint Unit of the Chinese Academy of Medical Sciences;

Upper tract urothelial carcinoma (UTUC) accounts for 5%-10% of all urothelial tumors. Radical nephroureterectomy is the standard treatment procedure. At present, different choices still exist for treating the ureteral end during laparoscopic ureteral bladder sleeve resection. Read More

View Article and Full-Text PDF
November 2019

Descending laparoscopic radical nephrectomy and proven advantages in long term.

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

View Article and Full-Text PDF
November 2019

Incidence of Port Site Metastasis in Laparoscopic Radical Nephroureterectomy: Single-institution Experience.

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

View Article and Full-Text PDF
September 2019

Transperitoneal radical nephroureterectomy is associated with worse disease progression than retroperitoneal radical nephroureterectomy in patients with upper urinary tract urothelial carcinoma.

Sci Rep 2019 04 18;9(1):6294. Epub 2019 Apr 18.

Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

This study aimed to compare the oncologic outcomes between retroperitoneal radical nephroureterectomy (rRNU) and transperitoneal radical nephroureterectomy (tRNU) for the treatment of patients with upper urinary tract urothelial carcinoma (UTUC). Medical records of 743 eligible patients who underwent rRNU or tRNU between 1995 and 2015 were reviewed retrospectively. Progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS) were compared according to the surgical approach using the Kaplan-Meier method. Read More

View Article and Full-Text PDF

Robot-assisted Partial Nephrectomy and Bilateral Pyelolithotomy in Ectopic Pelvic Kidneys.

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

View Article and Full-Text PDF

Single-site robotic platform in clinical practice: first cases in the USA.

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

View Article and Full-Text PDF

Retroperitoneoscopy in urology: a systematic review.

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

View Article and Full-Text PDF
February 2019

Is transperitoneal laparoscopic radical nephrectomy suitable for patients with a history of abdominal surgery?

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

View Article and Full-Text PDF
October 2019

Laparoscopic radical nephrectomy with inferior vena cava thrombectomy: A combined retroperitoneal and transperitoneal approach.

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

View Article and Full-Text PDF

Endoscopic Robot-assisted Simple Enucleation Versus Laparoscopic Simple Enucleation With Single-layer Renorrhaphy in Localized Renal Tumors: A Propensity Score-matched Analysis From a High-volume Centre.

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

View Article and Full-Text PDF
November 2018

Laparoscopic Transperitoneal Radical Nephrectomy for Renal Masses with Level I and II Thrombus.

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

View Article and Full-Text PDF
January 2019

Entry techniques in laparoscopic radical and partial nephrectomy: a multicenter international survey of contemporary practices.

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

View Article and Full-Text PDF

Dual Combined Laparoscopic Approach for Renal-Cell Carcinoma with Renal Vein and Level I-II Inferior Vena Cava Thrombus: Our Technique and Initial Results.

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

View Article and Full-Text PDF
September 2018

What is the risk of local recurrence after laparoscopic transperitoneal radical nephrectomy in children with Wilms tumours? Analysis of a local series and review of the literature.

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

View Article and Full-Text PDF

Development and validation of a training and assessment tool for laparoscopic radical nephrectomy.

Actas Urol Esp (Engl Ed) 2018 Jul-Aug;42(6):396-405. 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

View Article and Full-Text PDF

Factors influencing the operating time for single-port laparoscopic radical nephrectomy: focus on the anatomy and distribution of the renal artery and vein.

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

View Article and Full-Text PDF
October 2017

Laparoscopic partial nephrectomy for tumors 7cm and above. Perioperative outcomes.

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

View Article and Full-Text PDF
November 2017

Transperitoneal laparoscopic nephrectomy: Assessing complication risk in cases of previous abdominal surgery.

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

View Article and Full-Text PDF

Transmesenteric Internal Herniation Leading to Small Bowel Obstruction Postlaparoscopic Radical Nephrectomy.

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

View Article and Full-Text PDF

A Pancreatic Fistula as a Rare Complication of Laparascopic Radical Nephrectomy: A Case Report.

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

View Article and Full-Text PDF