Laparoscopic removal of local renal cell carcinoma recurrence
Autor: | Avraham Shtricker, Alexander Tsivian, Shlomo Kyzer, A. Ami Sidi, Matvey Tsivian, Shalva Benjamin |
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Jazyk: | angličtina |
Rok vydání: | 2009 |
Předmět: |
Male
medicine.medical_specialty recurrence Urology laparoscopy Chromophobe cell carcinoma urologic and male genital diseases lcsh:RC870-923 Inferior vena cava Renal cell carcinoma medicine.artery medicine Carcinoma Humans Laparoscopy Carcinoma Renal Cell Aged Retrospective Studies Aorta medicine.diagnostic_test business.industry Fascia Middle Aged medicine.disease lcsh:Diseases of the genitourinary system. Urology Kidney Neoplasms Surgery renal cell Treatment Outcome medicine.anatomical_structure medicine.vein Neoplasm Recurrence Local Gonadal vein business Follow-Up Studies |
Zdroj: | International Brazilian Journal of Urology, Vol 35, Iss 4, Pp 436-441 (2009) International braz j urol, Volume: 35, Issue: 4, Pages: 436-441, Published: AUG 2009 International braz j urol v.35 n.4 2009 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU |
ISSN: | 1677-6119 1677-5538 |
Popis: | Purpose: To describe an entirely laparoscopic technique for excising a recurrence of local renal cell carcinoma (RCC). Materials and Methods: The patient is placed in a full flank position. A 10-mm trocar is inserted using Hasson's technique with three additional ports in the upper abdomen. After lysis of adhesions, the psoas muscle, ureteral and gonadal vein remnants, inferior vena cava or aorta, and renal vessel stumps are dissected and isolated. The specimen, including the mass, the adrenal gland, and the ipsilateral pararenal and paracaval or para-aortic tissue within Gerota's fascia remnants, are excised en bloc and removed inside an Endocatch-II bag. Results: To date we have used this technique for excising RCC recurrences in three patients. Pathologic examination showed clear cell type RCC Fuhrman grade 2 in the specimens of two patients and chromophobe type in one. No patient have had further recurrence after 50, 38 and 12 months of follow-up. Conclusions: An entirely laparoscopic surgical approach for excising local RCC recurrence has not, to our knowledge, been previously described. This method can be effectively applied while adhering to oncologic principles, with minimal blood loss and low morbidity. |
Databáze: | OpenAIRE |
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