[Laparoscopic partial nephrectomy].

Autor: Hattori R; The Department of Urology, Nagoya University School of Medicine., Gotoh M, Yoshikawa Y, Yoshino Y, Tuchiya F, Katoh M, Komatsu T, Matsukawa Y, Ono Y
Jazyk: japonština
Zdroj: Hinyokika kiyo. Acta urologica Japonica [Hinyokika Kiyo] 2005 Aug; Vol. 51 (8), pp. 517-21.
Abstrakt: We retrospectively reviewed the clinical results of 24 patients who underwent laparoscopic partial nephrectomy by a diagnosis of renal cell carcinoma (RCC) between 1999 and 2004, including 16 elective cases and 8 imperative cases. Twenty-two were successfully treated laparoscopically; two cases in the imperative group required conversion to open surgery because of uncontrollable bleeding. A vascular clamp was used in 12 cases for an average of 26 minutes. The creatinine clearance changed from 98 to 93 ml/min in the elective cases and from 49 to 44 ml/min in the imperative cases. Pathological evaluation revealed RCC in 10 elective cases and 6 imperative cases. Local recurrence (renal hilum lymph node and ipsilateral kidney) was found in 2 patients in the imperative group. Although laparoscopic partial nephrectomy is useful, long-term follow-up is necessary for evaluating the tumor control.
Databáze: MEDLINE