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学科主题临床医学
Retroperitoneal Laparoscopic Partial Nephrectomy for Moderately Complex Renal Hilar Tumors
Xu, Ben; Zhang, Qian1,2; Jin, Jie
关键词Hilar tumors Laparoscopic Retroperitoneal Partial nephrectomy Nephrometry
刊名UROLOGIA INTERNATIONALIS
2014
DOI10.1159/000354391
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
引用统计
被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/60197
专题北京大学第一临床医学院_泌尿外科
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
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Xu, Ben,Zhang, Qian,Jin, Jie. Retroperitoneal Laparoscopic Partial Nephrectomy for Moderately Complex Renal Hilar Tumors[J]. UROLOGIA INTERNATIONALIS,2014,92(4):400-406.
APA Xu, Ben,Zhang, Qian,&Jin, Jie.(2014).Retroperitoneal Laparoscopic Partial Nephrectomy for Moderately Complex Renal Hilar Tumors.UROLOGIA INTERNATIONALIS,92(4),400-406.
MLA Xu, Ben,et al."Retroperitoneal Laparoscopic Partial Nephrectomy for Moderately Complex Renal Hilar Tumors".UROLOGIA INTERNATIONALIS 92.4(2014):400-406.
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