Abstract
Purpose: Laparoscopic partial nephrectomy is a challenging procedure due to the risk of excessive bleeding. We evaluated the usefulness of a microwave tissue coagulator during laparoscopic partial nephrectomy for small renal tumor. Materials and Methods: From January to July 2000, 6 patients with small renal tumors, from 11 to 25 mm. in diameter, underwent laparoscopic partial nephrectomy with a microwave tissue coagulator without renal pedicle clamping. There were 4 patients who underwent the transperitoneal and 2 who underwent the retroperitoneal approaches. Results: Mean operating time was 186 minutes (range 131 to 239), and blood loss was minimal. Complications were mild and tolerable, and there was no significant deterioration of renal function. Conclusions: Laparoscopic partial nephrectomy with a microwave tissue coagulator is a useful and less invasive method for treatment of select small renal tumors. Long-term followup of patients is warranted to determine the potential for cancer control with this method.
Original language | English |
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Pages (from-to) | [d]1893-1896 |
Journal | Journal of Urology |
Volume | 165 |
Issue number | 6 I |
DOIs | |
Publication status | Published - 2001 |
Keywords
- Carcinoma, renal cell
- Kidney
- Laparoscopy
- Nephrectomy
- Tissues
ASJC Scopus subject areas
- Urology