Laparoendoscopic single-site surgery radical nephrectomy.

Department of Urology, University of Leipzig, Leipzig, Germany.
Journal of endourology / Endourological Society (Impact Factor: 1.75). 02/2011; 25(2):159-65. DOI: 10.1089/end.2010.0673
Source: PubMed

ABSTRACT The indications, instrumentation, surgical technique, and complications of laparoendoscopic single-site radical nephrectomy (LESS-RN) are being described in detail in an attempt to familiarize urologists with this novel laparoscopic technique. Our initial experience of 30 consecutive cases of LESS-RN is reported. The results indicate that, in experienced hands, LESS-RN is feasible and safe, with results comparable to those of conventional laparoscopic radical nephrectomy. Nevertheless, larger series of patients are needed to prove if the increased technical difficulty of LESS-RN justifies its use in routine urologic practice.

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    ABSTRACT: Open surgery is the standard therapeutic approach for renal malignant tumor in children; while in adults, laparoscopic radical nephrectomy (LRN) is used. Only few reports on LRN in children have been published because the most common form of pediatric renal malignancy, Wilms tumor, is well known for presenting with large palpable masses. Here, we report the case of a 13-year-old girl with small chromophobe renal cell carcinoma (RCC) who was managed by LRN. RCC is a rare condition, with an incidence rate of only 2 to 6% of all renal tumors in children. We found LRN for small RCC to be feasible and safe.
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