Oncological Safety of Laparoscopic Surgery for Urological Malignancy: Experience With More Than 1,000 Operations

Rassweiler, Jens; Tsivian, Alexander; Kumar, Anup; Lymberakis, C.; Schulze, Michael; Seeman, Othmar; Frede, Thomas

doi:10.1097/01.ju.0000067469.01244.5c

Cited by 171 publications

(98 citation statements)

References 19 publications

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“…LRN sonrası organın nasıl çıkarılacağı konusu tartışmalıdır [24]. Olguların 7'inde nefrektomi materyali organ torbasına (LapSacR, Cook-Europe) yerleştirildikten sonra dijital morselasyon tekniğiy-le, geriye kalan 43 örnekte ise alt batına yapılan 6-8 cm'lik bir insizyondan materyal bir bütün olarak çıkarılmıştır.…”

Section: Discussionunclassified

Our laparoscopic radical nephrectomy experiences

Dağgülli¹

2014

Diclemedj

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Objective: In this study our aim is to present outcomes of laparoscopic radical nephrectomy (LRN) we have been applying for the management of renal masses. Methods:We retrospectively examined medical files of 54 cases who underwent LRN in the Urology Clinics of Dicle University between October 2010, and April 2014. Archival files of the patients were retrospectively analyzed as for age, gender, obesity, dimensions, and laterality of renal mass, smoking status, history of hypertension, histopathology results, blood transfusion (if any), hospital stays, peri-and post-operative complications, drain removal times, and method of removal of the nephrectomy material.Results: Our study population (n=54) consisted of 21 male, and 33 female patients with a mean age of 58,8 (29-82) years. Some of them were smoker (n=23), hypertensive (n=15), and obese (n=32) patients. Renal masses with a median diameter of 6.2 cm (4,5-16,5) were localized in the right (n=23) or left (n=31) kidneys. In all cases, transperitoneal approach was preferred. In 3 cases we have to switch to an open surgery. In 8 patients, blood transfusions were required. In 18 patients 4th port was used for the retraction of the liver, while in other cases only 3 ports were used. Median operative time was 115.6 min . Median hospital stay was 3,9 days (3-16). In one case abundant bleeding occurred because of splenic artery injury. Conclusion:Transperitoneal LRN is a minimally invasive surgical method which can be performed rapidly, and effectively. We think that in procedures performed in compliance with surgical principles, LRN can be realized safely with lower complication rates even by urologists in their initial experiences. On sekiz hastada, karaciğer ekartasyonu için 4. port kullanılırken, diğer tüm vakalarda 3 port kullanıldı. Ortalama operasyon süresi 115,6 dk (75-192) idi. Ortalama hastanede kalış süresi 3,9 gün (3-16) idi. 1 olguda splenik arter yaralanmasına bağlı abondan kanama gelişti.Sonuç: Transperitoneal LRN, hızlı ve etkin bir şekilde yapılabilen minimal invaziv bir cerrahi yöntemdir. Laparoskopik cerrahi prensiplere bağlı kalarak yapılan cerrahi işlemlerde başlangıç deneyimlerde bile LRN düşük komplikasyon oranları ile güvenle yapılabilecek bir cerrahi olduğunu düşünmekteyiz.

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Section: Discussionunclassified

Our laparoscopic radical nephrectomy experiences

Dağgülli¹

2014

Diclemedj

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“…The safety of laparoscopic and Robotic uro-oncological procedures has already been established [1,2]. Various studies have reported a low incidence of port site metastases after laparoscopic uro-oncological procedures [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have established the oncological safety of such minimally invasive procedures for various pelvic malignancies [1,2]. Robot Assisted Radical Cystectomy (RARC) has gained popularity and has shown similar oncological outcomes to open surgery [2].…”

Section: Introductionmentioning

confidence: 99%

Unusual Metastases after Robot Assisted Radical Cystectomy: A Case Report

Panwar¹,

Bora²,

Mavuduru³

et al. 2017

J Clin Case Rep

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“…28,30,34,35 Additionally, Kebebew et al demonstrated that inadvertent laparoscopic resection of clinically unsuspected adrenocortical carcinoma exhibited a high local recurrence rate. 19 Gerber et al reported on their experience with laparoscopic adrenalectomy for lung cancer patients with a solitary metastasis to the adrenal gland.…”

Section: Surgical Management Of Adrenal Metastasismentioning

confidence: 99%