We evaluated the results of laparoscopic nephrectomy for the treatment of renal tumors in a provincial hospital. Subjects and methods: 30 patients were diagnosed with renal tumors and underwent laparoscopic nephrectomy at a General Hospital, in Vietnam. The mean age was 53.23 years, the rate of incidental detection of tumors was 8/30. Average tumor size was 5.33cm. Angiomyolipoma was found int 7/30 and renal cell carcinoma (RCC) in 23/30. The transperitoneal approach was used in 13/30. Most (21/30) patients had one renal artery and one renal vein. The mean operative time was 116 minutes, the average blood loss 161 ml, the drainage time five days and the hospital stay six days. Operative complications: minor hemorrhage 2/30; major haemorrhage 1/30. Postoperative complications: 3/30. Conversion to open surgery 1/30. Most (18/30) patients were examined after six months; one case had liver metastases. Laparoscopic nephrectomy (LRN) in the treatment of renal tumors is a safe, effective method and can be done in provincial hospitals. However, in order to make a more accurate conclusion, there is a need for large-scale studies with a longer follow-up time.

We evaluated the initial results of laparoscopic partial nephrectomy (LPN) in the treatment of renal tumors in Thanh Hoa General Hospital. During examination, 10 patients (6 females, 4 males) were diagnosed with renal tumors on CT scans. Later they underwent LPN at Thanh Hoa General Hospital from November 2016 to March 2018. The mean age was 54.5 years. Average tumor size was 3.5 cm. There were seven patients in the pT1a stage and 3 in the pT1b stage. The R.E.N.A.L. nephrometry scoring: two patients in 4a; two patients in 4p; three patients in 5a; two patients in 6p; and one patient in 8x. Average operative time was 125.6 minutes. Average warm-ischemic time was 29.4 minutes. Blood loss average was 85.2 mL. Hemorrhagic complication in one patient. Convert to laparoscopic radical nephrectomy in one patient. Patients were followed for one to three months without complications, metastases, or local recurrence.