Laparoscopic Nephrectomy: Initial Case Report

Clayman, Ralph V.; Kavoussi, Louis R.; Soper, Nathaniel J.; Dierks, Stephen M.; Meretyk, Shimon; Darcy, Michael D.; Roemer, Frederick D.; Pingleton, Edward D.; Thomson, Paul; Long, Stephenie R.

doi:10.1016/s0022-5347(17)37770-4

Cited by 1,426 publications

(499 citation statements)

References 15 publications

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“…Since the initial report by Clayman et al ., 1 laparoscopic nephrectomy has become an alternative to open surgery. Although laparoscopic radical nephrectomy was performed for small renal cell carcinoma in the early days, its indication has been widened recently.…”

Section: Introductionmentioning

confidence: 99%

Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience

et al. 2002

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Objectives : To report our initial experience of hand-assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors. Methods : The clinical data on 22 consecutive patients who had undergone hand-assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7-7.5 cm incision using a LAP DISC.Results : The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 vs 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 vs 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients. Conclusion : Hand-assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.

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Section: Introductionmentioning

confidence: 99%

Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience

et al. 2002

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“…Laparoscopic nephrectomy (LN) was first reported by Clayman et al in 1991. 1 It is now becoming one of the procedures of choice in treating renal disorders, including malignancies, and several researchers have favorably reported its effectiveness and safety.…”

Section: Introductionmentioning

confidence: 99%

“…1 It is now becoming one of the procedures of choice in treating renal disorders, including malignancies, and several researchers have favorably reported its effectiveness and safety. [2][3][4] We reviewed the patients with renal diseases who underwent LN at our institutes and discussed efficacy and safety.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the efficacy and safety of laparoscopic nephrectomy

et al. 2001

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Purpose: To evaluate the efficacy and safety of laparoscopic nephrectomy. Methods: From June 1994 to November 1999, 10 patients underwent laparoscopic nephrectomy at Osaka University Medical Hospital and Osaka Rosai Hospital. Laparoscopic nephrectomy was performed either via transperitoneal or retroperitoneal approach under general anesthesia. These 10 cases were reviewed in respect of primary disease of the kidney, operative time, complications and postoperative convalescence. Results: Of the 10 patients, five were preoperatively diagnosed as having a non-functioning kidney with hydronephrosis, two patients were diagnosed as having an atrophic kidney, two had renal cell carcinoma and one had renal pelvic tumor. The average operative time was 374 min (range 270-675 min). The mean blood loss was 330 mL (range 60-800 mL). One patient required transfusion due to postoperative oozing. The average hospital stay after operation was 7 days. No major postoperative complications were observed. Conclusion: Laparoscopic nephrectomy is an option in surgically managing renal disorders, including malignancies, although it has a longer operative time compared to conventional open surgery.

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“…In many instances, this has been achieved by operating via natural body openings (eg, cystoscopy, transurethral resection, and ureteroscopy) [1,2]. Urologists have also pioneered novel techniques to address clinical situations where access through natural body openings was impossible, such as percutaneous stone surgery, laparoscopy, and robotics [3][4][5].…”

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confidence: 99%