TY - JOUR
T1 - Laparoscopic Partial Nephrectomy
T2 - an Update on Contemporary Issues
AU - Andonian, Sero
AU - Janetschek, Günter
AU - Lee, Benjamin R.
PY - 2008/8
Y1 - 2008/8
N2 - Laparoscopic partial nephrectomy (LPN) is a technically challenging procedure with up to 5-year follow-up data. In this article, incidence of renal cell carcinoma, indications, and contraindications for LPN are presented. In addition, LPN for benign diseases such as atrophic renal segments associated with duplicated collecting systems and calyceal diverticula associated with recurrent UTIs are presented. Hilar clamping, ischemic time, positive margins, and port-site metastasis, in addition to complications and survival outcomes, are discussed. The advantages of lower cost, decreased postoperative pain, and early recovery have to be balanced with prolonged warm ischemia. Its long-term outcomes in terms of renal insufficiency or hemodialysis requirements have not been defined completely. Randomized clinical trials comparing open partial nephrectomy (OPN) versus LPN are needed.
AB - Laparoscopic partial nephrectomy (LPN) is a technically challenging procedure with up to 5-year follow-up data. In this article, incidence of renal cell carcinoma, indications, and contraindications for LPN are presented. In addition, LPN for benign diseases such as atrophic renal segments associated with duplicated collecting systems and calyceal diverticula associated with recurrent UTIs are presented. Hilar clamping, ischemic time, positive margins, and port-site metastasis, in addition to complications and survival outcomes, are discussed. The advantages of lower cost, decreased postoperative pain, and early recovery have to be balanced with prolonged warm ischemia. Its long-term outcomes in terms of renal insufficiency or hemodialysis requirements have not been defined completely. Randomized clinical trials comparing open partial nephrectomy (OPN) versus LPN are needed.
UR - https://www.scopus.com/pages/publications/50149110641
UR - https://www.scopus.com/pages/publications/50149110641#tab=citedBy
U2 - 10.1016/j.ucl.2008.05.003
DO - 10.1016/j.ucl.2008.05.003
M3 - Review article
C2 - 18761194
AN - SCOPUS:50149110641
SN - 0094-0143
VL - 35
SP - 385
EP - 396
JO - Urologic Clinics of North America
JF - Urologic Clinics of North America
IS - 3
ER -