Abstract
ObjectivesTo review the development, techniques, outcomes, and current status of laparoscopic partial nephrectomy (LPN) for renal tumours. MethodsA Medline search (1996–2006) was performed using the following keywords: kidney, laparoscopic partial nephrectomy, renal, and tumour. Over 300 papers were identified. Of these, 47 papers were selected for review based on their contribution to evolution of concepts, development of techniques, and perioperative and oncologic outcomes after LPN. ResultsLPN provides perioperative results as well as intermediate and long-term oncologic and functional outcomes comparable to the reference standard (open partial nephrectomy [OPN]) with significantly decreased patient morbidity. The 5-yr oncologic data are available for 50 patients, with a mean tumour size of 3cm (range 1.4–7cm). Renal cell carcinoma (RCC) was confirmed in 64% with tumour stage pT1a in 91%. At a median follow-up of 5.2 yr, overall and cancer-specific survival rates were 84% and 100%, respectively. ConclusionsAs global experience and skills with this technique increase, the number of patients undergoing this procedure is increasing rapidly. In expert hands, cancer control and functional outcomes are comparable to OPN.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
