Laparoscopic radical nephrectomy: long-term outcomes

Abstract

Long-term studies repeatedly support the superiority of laparoscopic radical nephrectomy over open radical nephrectomy for the majority of renal cell cancers due to equivalent oncologic control, low morbidity and shorter convalescence time. Experienced surgeons are able to manage more advanced pathologies laparoscopically without compromising cancer control or patient safety.

Retroperitoneoscopic laparo-endoscopic single-site radical nephrectomy (RLESS-RN): initial experience with a homemade port

“…In addition, the perioperative results in the present study were comparable to those of the pioneer LESS series [9,10,15-19]. Since the first laparoscopic nephrectomy performed by Clayman et al [20] in 1991, several reports have showed the advantages of laparoscopic or retroperitoneoscopic nephrectomy on decreased postoperative pain, shorter hospital stay, more rapid convalescence, and improved cosmesis compared with open surgery [6]. Long-term oncologic outcomes are comparable.…”

Long‐term outcome of hand‐assisted laparoscopic radical nephrectomy for T1 renal cell carcinoma

“…In previous reports on the outcome, the 5‐year recurrence‐free rate after LAP‐Nx for T1‐T2 renal cell carcinoma was 91–94%, and the 5‐year cancer‐specific survival rate was 94–98% . In HALS‐Nx, the 5‐year recurrence‐free rate and the 5‐year cancer‐specific survival rate for T1‐T2 renal cell carcinoma was 90.7 and 94.4%, respectively .…”

“…Also, the intraperitoneal approach was mainly taken in both previous reports . In a previous study, a comparison of the 5‐ and 10‐year recurrence‐free survival rates of the laparoscopic and open groups showed no significant differences, as the cancer‐specific survival rate in T1‐2 patients treated with LAP‐Nx was 97% at year 5 and year 10 . In addition, the 5‐ and 10‐year cancer‐specific survival rates of the laparoscopic and open groups showed no significant differences .…”

Retroperitoneal Laparoscopic and Open Radical Nephrectomy for T1 Renal Cell Carcinoma

“…For T1-T2 RCC, traditional open radical nephrectomy has been replaced by laparoscopic radical nephrectomy; however, open surgery is still required for T3 RCC. Borin 6 considered that the 5-year survival rate and the recurrence= metastasis rate of RCC patients treated by laparoscopic radical nephrectomy were not significantly different from open surgery. Patients with advanced RCC or even regional nodal metastasis could also receive laparoscopic radical nephrectomy, and laparoscopic surgery is the preferred scheme for radical nephrectomy.…”