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学科主题: 临床医学
题名:
Retroperitoneal Laparoscopic Partial Nephrectomy for Moderately Complex Renal Hilar Tumors
作者: Xu, Ben; Zhang, Qian1,2; Jin, Jie
关键词: Hilar tumors ; Laparoscopic ; Retroperitoneal ; Partial nephrectomy ; Nephrometry
刊名: UROLOGIA INTERNATIONALIS
发表日期: 2014
DOI: 10.1159/000354391
卷: 92, 期:4, 页:400-406
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: NEPHRON-SPARING SURGERY ; CELL CARCINOMA ; TRANSPERITONEAL ; SCORE
英文摘要:

Objectives: To report our initial experience in retroperitoneal laparoscopic partial nephrectomy (LPN) for moderately complex renal hilar tumors and summarize the feasibility of the retroperitoneal laparoscopic approach. Materials and Methods: 14 patients with renal hilar tumors underwent retroperitoneal LPN between June 2010 and January 2012 at our institution. All of the masses were confirmed in the hilar location by computed tomography preoperatively and then evaluated with the R.E.N.A.L. nephrometry scoring system; all were defined as moderately complex lesions. A three-port retroperitoneal approach with a dorsal incision was used in all cases. Patient baseline demographics, perioperative outcomes and pathological characteristics were recorded based on a retrospective data collection and telephone interview. Results: All operations were performed successfully without conversion to radical nephrectonny or open surgery. Only two complications of perirenal fluid collection occurred, but the patients recovered with active surveillance. Mean operative time was 134.3 min, mean estimated blood loss 133.2 ml, mean warm ischemia time 30.6 min and mean retroperitoneal drainage 2.2 days. Mean postoperative hospital stay was 4.7 days. No recurrence or metastasis occurred in these patients at a mean follow-up of 18.6 months. Conclusions: Our initial experience suggests that retroperitoneal LPN is a feasible, safe and effective procedure for moderately complex renal hilar tumors. Although it remains technically challenging, this approach can be recommended in some complex cases when in experienced hands. (C) 2013 S. Karger AG, Basel

语种: 英语
WOS记录号: WOS:000336947700005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60197
Appears in Collections:北京大学第一临床医学院_泌尿外科_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Dept Urol, Beijing 100034, Peoples R China
2.Peking Univ, Natl Urol Canc Ctr, Inst Urol, Beijing 100034, Peoples R China

Recommended Citation:
Xu, Ben,Zhang, Qian,Jin, Jie. Retroperitoneal Laparoscopic Partial Nephrectomy for Moderately Complex Renal Hilar Tumors[J]. UROLOGIA INTERNATIONALIS,2014,92(4):400-406.
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