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Kathmandu Univ Med J (KUMJ) 2021 Apr-Jun;19(74):160-163

Department of Urology and Kidney Transplantation, Shahid Dharma Bhakta National Transplant Centre(SDNTC), Bhaktapur, Nepal.

Background This study focuses on experience of laparoscopic surgery at Shahid Dharma Bhakta National Transplant Centre (SDNTC), Nepal; which could enable us to gain knowledge regarding its benefits over conventional surgery. The present study revealed the frequency of various forms of laparoscopic surgeries done at our centre. Moreover, this study accomplishes laparoscopic donor nephrectomy "a historical milestone achieved in Nepal for kidney transplantation on 18th November 2018" which was the first Laparoscopic donor nephrectomy done in Nepal by Nepalese team. Read More

Zhonghua Wai Ke Za Zhi 2021 Nov;59(11):912-917

Department of Urology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To examine the clinical application effects of two-complex and one-plane technique for the renal artery dissected location in transperitoneal laparoscopic radical nephrectomy(LRN). Clinical data of patients diagnosed as renal tumor between January 2016 and December 2019 that treated with transperitoneal LRN and the two-complex and one-plane technique was performed to locate and dissect the renal arteries were analyzed retrospectively. A total of 206 qualified patients were enrolled, included 71 cases from Kaifeng Central Hospital and 135 cases from the First Affiliated Hospital of Zhengzhou University. Read More

J Endourol 2021 Sep;35(S2):S83-S92

The Smith Institute for Urology, Lenox Hill Hospital, New York, New York, USA.

In addition to its established advantages, laparoscopic radical nephrectomy (RN) poses a unique set of challenges over traditional open surgery. In this study, we discuss preoperative considerations and detailed steps for laparoscopic RN. We review the transabdominal approach in detail, including patient positioning, equipment, and port placement in addition to the surgical steps. Read More

J Endourol 2021 Sep;35(S2):S122-S131

Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA.

First proposed by Kimball and Ferris in 1933 for the treatment of papillary tumors in the upper urinary tract, radical nephroureterectomy (RNU) with bladder cuff excision remains the gold standard for management of high-risk upper tract urothelial carcinoma involving the proximal ureter and/or pelvicaliceal system. Over three decades since the first description of laparoscopic RNU, minimally invasive approaches to RNU have continued to evolve and become increasingly utilized. More recently, robot-assisted RNU (RARNU) has increasingly become a viable approach. Read More

J Nippon Med Sch 2021 ;88(4):367-369

Department of Urology, Nippon Medical School Hospital.

Laparoscopic radical nephrectomy (LRN) is the standard surgical treatment for localized renal cell carcinoma. LRN can be performed using a transperitoneal or retroperitoneal approach. We report a case of a complication specific to the retroperitoneal approach. Read More

J BUON 2021 May-Jun;26(3):1094-1101

Department of Urology, the First Affiliated Hospital of Soochow University, Suzhou, China.

Purpose: The aim of this study was to investigate the clinical efficacy and safety of laparoscopic radical resection through retroperitoneal and transperitoneal approaches in treating large-volume renal carcinoma.

Methods: A total of 116 patients with large-volume (>7 cm) renal carcinoma underwent laparoscopic radical resection for renal carcinoma. Among them, 58 were treated through retroperitoneal approach (Retroperitoneal group), and 58 were treated through transperitoneal approach (Abdominal group). Read More

World J Surg Oncol 2021 Jul 2;19(1):195. Epub 2021 Jul 2.

Department of Urology, Changhai Hospital, Navy Medical University, 168 Changhai Rd, Shanghai, 200433, China.

Background: To describe the techniques and outcomes of complete transperitoneal laparoscopic nephroureterectomy (CTLNU) for upper urinary tract urothelial carcinoma (UTUC) in a single position.

Materials And Methods: Those patients with localized UTUC were included, among which 50 cases had CTLNU while 48 cases had laparoscopic nephroureterectomy with open bladder cuff excision (LNOBE). The clinical data were collected and analyzed retrospectively. Read More

Urologia 2021 Nov 16;88(4):343-347. 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

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

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

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

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 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

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

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

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

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

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

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

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