Metastatic Renal Cell Cancer after Laparoscopic Radical Nephrectomy: Long-Term Follow-Up

Fentie, Donald D.; Barrett, Peter H.; Taranger, L.A.

doi:10.1089/end.2000.14.407

Cited by 85 publications

(36 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…High grade and high stage of tumor probably has a role in tumor seeding. Seeding metastasis after laparoscopic surgery for RCC is rarer than urothelial cell carcinoma, especially in cases of T1 pathologic stage or chromophobe RCC (3,(8)(9)(10). Although the mass in the RUQ area in our report could be a port site metastasis, the pelvic mass was not a port site metastasis.…”

Section: Discussionmentioning

confidence: 49%

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

Lee

Choi

2017

Investig Magn Reson Imaging

View full text Add to dashboard Cite

Chromophobe renal cell carcinoma (RCC) is an uncommon subtype of RCC having a better prognosis than clear cell RCC. Although there are several reports of seeding metastasis of RCC after biopsy, seeding metastasis of chromophobe RCC after surgical resection has seldom been reported. Here, we describe a case of multiple seeding metastases in the abdomen and pelvis 78 months after robot-assisted laparoscopic partial nephrectomy, without prior history of biopsy for chromophobe RCC in the right kidney. As magnetic resonance imaging (MRI) of the pelvic mass showed a similar appearance to the primary renal mass and displayed separate margins with the rectum and prostate gland, we were able to make a diagnosis before pathologic confirmation.

show abstract

Section: Discussionmentioning

confidence: 49%

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

Lee

Choi

2017

Investig Magn Reson Imaging

View full text Add to dashboard Cite

show abstract

“…Although it has been used for a long time in Urology, there are limited reports regarding tumor seeding or complications which have resulted from Urologic specimen morcellation (11)(12)(13). The decision to morcellate should be made in conjunction with the patient who must understand the risks and benefits of specimen morcellation.…”

Section: Specimen Retrievalmentioning

confidence: 99%

The final stage of the laparoscopic procedure: exploring final steps

et al. 2012

View full text Add to dashboard Cite

INTRODuCTIONUrologic surgery continues to evolve focusing efforts on adequate treatment of pathologic urologic conditions in a safe and minimally invasive manner (1).Laparoscopic surgery has well defined benefits for the patient and has, over time, become accepted as a standard of care access strategy for the management of benign and malignant Urologic diseases. Despite significant advances in laparoscopic technique and technologies, laparoscopic Urologic surgery remains technically demanding. Unlike open surgery, at the end of laparoscopic extirpative procedures, the Urologist is often faced with the additional challenges of specimen retrieval and extraction.Laparoscopic specimen entrapment and extraction occur at what is falsely considered the "end of the procedure". During open surgery, after the specimen has been mobilized, the specimen is Despite significant advances in laparoscopic technique and technologies, laparoscopic Urologic surgery remains technically demanding regarding various surgical steps including the challenge of specimen retrieval and extraction, whether to install a drainage system and the best option for wound closure. Laparoscopic specimen entrapment and extraction occurs at what is falsely considered the "end of the procedure". During open surgery, after the specimen has been mobilized, the specimen is simply lifted out of the larger incision which has been made to achieve the surgical objectives. In contrast, significant laparoscopic skill is required to entrap and safely extract laparoscopic specimens. Indeed, the Urologist and surgical team which are transitioning from open surgery may disregard this important part of the procedure which may lead to significant morbidity. As such, it is imperative that during laparoscopic procedures, the "end of the procedure" be strictly defined as the termination of skin closure and dressing placement. Taking a few minutes to focus on safe specimen entrapment and extraction will substantially reduce major morbidity. The following review focus on the technology and technique of specimen entrapment and extraction, on the matter of whether to install a drainage system of the abdominal cavity and the options for adequate closure of trocar site wounds. This article's primary objectives are to focus on how to minimize morbidity while maintain the advantages of a minimally invasive surgical approach.

show abstract

“…Morcellating a specimen containing tumor is felt to make accurate pathologic staging more difficult, but this has not yet been proved to be clinically detrimental due to the development of better clinical staging due to higher resolution imaging tests (10,11), and the application of nomograms and standardized protocols for pathologic evaluation of fragmented specimens (12). The potential increased risk of tumor spill and port-site metastasis after morcellation has yet to be proven clinically significant (13,14).…”

Section: Introductionmentioning

confidence: 99%

The effect of kidney morcellation on operative time, incision complications, and postoperative analgesia after laparoscopic nephrectomy

et al. 2006

View full text Add to dashboard Cite

Introduction:Compare the outcomes between kidney morcellation and two types of open specimen extraction incisions, several covariates need to be taken into consideration that have not yet been studied. Materials and Methods: We retrospectively reviewed 153 consecutive patients who underwent laparoscopic nephrectomy at our institution, 107 who underwent specimen morcellation and 46 with intact specimen removal, either those with connected port sites with a muscle-cutting incision and those with a remote, muscle-splitting incision. Operative time, postoperative analgesia requirements, and incisional complications were evaluated using univariate and multivariate analysis, comparing variables such as patient age, gender, body mass index (BMI), laterality, benign versus cancerous renal conditions, estimated blood loss, specimen weight, overall complications, and length of stay. Results: There was no significant difference for operative time between the 2 treatment groups (p = 0.65). Incision related complications occurred in 2 patients (4.4%) from the intact specimen group but none in the morcellation group (p = 0.03). Overall narcotic requirement was lower in patients with morcellated (41 mg) compared to intact specimen retrieval (66 mg) on univariate (p = 0.03) and multivariate analysis (p = 0.049). Upon further stratification, however, there was no significant difference in mean narcotic requirement between the morcellation and muscle-splitting incision subgroup (p = 0.14). Conclusion: Morcellation does not extend operative time, and is associated with significantly less postoperative pain compared to intact specimen retrieval overall, although this is not statistically significant if a remote, muscle-splitting incision is made. Morcellation markedly reduces the risk of incisional-related complications.

show abstract

Metastatic Renal Cell Cancer after Laparoscopic Radical Nephrectomy: Long-Term Follow-Up

Cited by 85 publications

References 21 publications

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

Seeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy

The final stage of the laparoscopic procedure: exploring final steps

The effect of kidney morcellation on operative time, incision complications, and postoperative analgesia after laparoscopic nephrectomy

Contact Info

Product

Resources

About