Alireza Farshi, Abbas Jabbari
*1 Department of Urology, Medical faculty, Imam Reza Medical Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Background and Objectives:Radical Nephrectomy (RN) is a standard treatment modality for localized Renal Cell Carcinoma (RCC), and recently laparoscopic RN is coming popular for RCC treatment. The advantages of retroperitoneal laparoscopy to the intraperitoneal approach include less visceral and vascular injury, easier access to renal vessels and no peritoneal seeding. Accordingly that in our country intraperitoneal approach is known as a common option, we decided to report our experience in retroperitoneal laparoscopic RN in these patients. Materials and Methods: In this retrospective study, 12 patients (6 male and 6 female) with 3-11 cm renal masses who were hospitalized from 2008 to 2012, underwent the retroperitoneal laparoscopic RN with hand assisted intact kidney removal by Gibson incision, assessed for local recurrence, perioperative hemorrhage and other postoperative complications. Results: Mean operation time was 193 ± 32 min with during operation blood loss of 162 ± 48 ml. Post operation hospital stay was 2-5 days. Conversion to open surgery was not required. There was no blood transfusion during and post operation. No major complication occurred. At mean 47.5 ± 18 months fallow up local recurrence was not seen. Conclusion: Retroperitoneal laparoscopic RN has become safe, simplified and effective although not easy. Complications, blood loss, hospital stay and convalescence times are low, therefore this approach is a good option for selected case of renal mass.