Skip to main content
SpringerLink
Log in

Laparoscopic Partial Nephrectomy

  • Chapter
Essential Urologic Laparoscopy

Part of the book series: Current Clinical Urology ((CCU))

Abstract

Laparoscopic partial nephrectomy is an excellent management option for small, superficial renal masses. With experience, larger and deeper tumors can be addressed as well. Intermediate-term follow-up (3- and 5-year) suggests cancer control similar to that of open surgery. The benefit of laparoscopy over open surgery is a briefer and less intense convalescence. The disadvantage of laparoscopic partial nephrectomy, at least with current techniques, is a complication rate that is somewhat greater than for open surgery. Careful preoperative assessment and planning is of utmost importance. A successful procedure can be performed through a variety of approaches (transperitoneal, retroperitoneal, and hand-assisted), with or without renal hilar clamping, and using any of a number of methods for tumor bed management (coagulation instruments, hemostatic products, and suturing), with the optimal selection of technique determined by the tumor characteristics.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Robson CJ. Radical nephrectomy for renal cell carcinoma. J Urol 1963;89:37–42.

    CAS  PubMed  Google Scholar 

  2. Buttarazzi PJ, Devine PC, Devine CJ, Jr., Poutasse EF. The indications, complications and results of partial nephrectomy. J Urol 1968;99:376–378.

    CAS  PubMed  Google Scholar 

  3. Filipas D, Fichtner J, Spix C, et al. Nephron-sparing surgery of renal cell carcinoma with a normal opposite kidney: long-term outcome in 180 patients. Urology 2000;56:387–392.

    Article  CAS  PubMed  Google Scholar 

  4. Uzzo RG, Novick AC. Nephron sparing surgery for renal tumors: indications, techniques and outcomes. J Urol 2001;166:6–18.

    Article  CAS  PubMed  Google Scholar 

  5. Herr HW. Partial nephrectomy for unilateral renal carcinoma and a normal contralateral kidney: 10-year follow-up. J Urol 1999;161:33–34.

    Article  CAS  PubMed  Google Scholar 

  6. Fergany AF, Hafez KS, Novick AC. Long-term results of nephron sparing surgery for localized renal cell carcinoma: 10-year follow-up. J Urol 2000;163:442–445.

    Article  CAS  PubMed  Google Scholar 

  7. Clark PE, Schover LR, Uzzo RG, Hafez KS, Rybicki LA, Novick AC. Quality of life and psychological adaptation after surgical treatment for localized renal cell carcinoma: impact of the amount of remaining renal tissue. Urology 2001;57:252–256.

    Article  CAS  PubMed  Google Scholar 

  8. McKiernan J, Simmons R, Katz J, Russo P. Natural history of chronic renal insufficiency after partial and radical nephrectomy. Urology 2002;59:816–820.

    Article  PubMed  Google Scholar 

  9. Huang WC, Levey AS, Serio AM, et al. Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. Lancet Oncol 2006;7:735–740.

    Article  PubMed  Google Scholar 

  10. Hollingsworth JM, Miller DC, Daignault S, Hollenbeck BK. Rising incidence of small renal masses: a need to reassess treatment effect. J Natl Canc Inst 2006;98:1331–1334.

    Article  Google Scholar 

  11. Russo P, Goetzl M, Simmons R, Katz J, Motzer R, Reuter V. Partial nephrectomy: the rationale for expanding the indications. Ann Surg Onc 2002;9:680–687.

    Article  Google Scholar 

  12. Patard JJ, Shvarts O, Lam JS, et al. Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience. J Urol 2004;171:2181–2185.

    Article  PubMed  Google Scholar 

  13. Hollenbeck BK, Taub DA, Miller DC, Dunn RL, Wei JT. National utilization trends of partial nephrectomy for renal cell carcinoma: a case of underutilization. J Urol 2006;67:254–259.

    Article  Google Scholar 

  14. Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: Initial case report. J Urol 1991;146:278–282.

    CAS  PubMed  Google Scholar 

  15. Jordan GH, Winslow BH. Laparoendoscopic upper pole partial nephrectomy with ureterectomy. J Urol 1993;150: 940–943.

    CAS  PubMed  Google Scholar 

  16. Winfield HN, Donovan JF, Godet AS, Clayman RV. Laparoscopic partial nephrectomy: initial case report for benign disease. J Endourol 1993;7:521–526.

    Article  CAS  PubMed  Google Scholar 

  17. Luciani RC, Greiner M, Clement JC, Houot A, Didierlaurent JF. Laparoscopic enucleation of a renal cell carcinoma. Surg Endosc 1994;8:1329–1331.

    Article  CAS  PubMed  Google Scholar 

  18. Portis AJ, Yan Y, Landman J, et al. Long-term followup after laparoscopic radical nephrectomy. J Urol 2002;167: 1257–1262.

    Article  PubMed  Google Scholar 

  19. Saika T, Ono Y, Hattori R, et al. Long-term outcome of laparoscopic radical nephrectomy for pathologic T1 renal cell carcinoma. Urology 2003;62:1018–1023.

    Article  PubMed  Google Scholar 

  20. Permpongkosol S, Chan DY, Link RE, et al. Long-term survival analysis after laparoscopic radical nephrectomy. J Urol 2005;174:1222–1225.

    Article  PubMed  Google Scholar 

  21. Permpongkosol S, Bagga HS, Romero FR, Sroka M, Jarrett TW, Kavoussi LR. Laparoscopic versus open partial nephrectomy for the treatment of pathological T1N0M0 renal cell carcinoma: a 5-year survival rate. J Urol 2006;176:1984–1988.

    Article  PubMed  Google Scholar 

  22. Lane BR, Gill IS. 5-year outcomes of laparoscopic partial nephrectomy. J Urol 2007;177:70–74.

    Article  PubMed  Google Scholar 

  23. Johnston WK, III, Montgomery JS, Seifman BD, Hollenbeck BK, Wolf JS, Jr. Fibrin glue v sutured bolster: lessons learned during 100 laparoscopic partial nephrectomies. J Urol 2005;174:47–52.

    Article  PubMed  Google Scholar 

  24. Weizer AZ, Gilbert SM, Roberts WW, Hollenbeck BK, Wolf JS, Jr. Tailoring technique of laparoscopic partial nephrectomy to tumor characteristics. J Urol 2008;180:1273–1278.

    Google Scholar 

  25. Kieran K, Montgomery JS, Daignault S, Roberts WW, Wolf JS, Jr. Comparison of intraoperative parameters and perioperative complications in retroperitoneal and transperitoneal approaches to laparoscopic partial nephrectomy: support for a retroperitoneal approach in selected patients. J Endourol 2007;21:754–759.

    Article  PubMed  Google Scholar 

  26. Caruso RP, Phillips CK, Kau E, Taneja SS, Stifelman MD. Robot assisted laparoscopic partial nephrectomy: initial experience. J Urol 2006;176:36–39.

    Article  PubMed  Google Scholar 

  27. Kaul S, Laungani R, Sarle R, et al. da Vinci-assisted robotic partial nephrectomy: technique and results at a mean of 15 months of follow-up. Eur Urol 2007;51:186–191.

    Article  PubMed  Google Scholar 

  28. Wolf JS, Jr., Marcovich R, Gill IS, et al. Survey of neuromuscular injuries to the patient and surgeon during urologic laparoscopic surgery. Urology 2000;55:831–836.

    Article  PubMed  Google Scholar 

  29. Gettman MT, Bishoff JT, Su LM, et al. Hemostatic laparoscopic partial nephrectomy: initial experience with the radiofrequency coagulation-assisted technique. Urology 2001;58:8–11.

    Article  CAS  PubMed  Google Scholar 

  30. Yoshimura K, Okubo K, Ichioka K, Terada N, Matsuta Y, Arai Y. Laparoscopic partial nephrectomy with a microwave tissue coagulator for small renal tumor. J Urol 2001;165:1893–1896.

    Article  CAS  PubMed  Google Scholar 

  31. Gill IS, Abreu SC, Desai MM, et al. Laparoscopic ice slush renal hypothermia for partial nephrectomy: the initial experience. J Urol 2003;170:52–56.

    Article  PubMed  Google Scholar 

  32. Landman J, Venkatesh R, Lee D, et al. Renal hypothermia achieved by retrograde endoscopic cold saline perfusion: technique and initial clinical application. Urology 2003;61:1023–1025.

    Article  PubMed  Google Scholar 

  33. Janetschek G, Abdelmaksoud A, Bagheri F, Al-Zahrani H, Leeb K, Gschwendtner M. Laparoscopic partial nephrectomy in cold ischemia: renal artery perfusion. J Urol 2004;171:68–71.

    Article  PubMed  Google Scholar 

  34. Webster TM, Moeckel GW, Herrell SD. Simple method for achieving renal parenchymal hypothermia for pure laparoscopic partial nephrectomy. J Endourol 2005;19:1075–1081.

    Article  PubMed  Google Scholar 

  35. Weld KJ, Koziol S, Montiglio C, Sorenson P, Cespedes RD, Bishoff JT. Feasibility of laparoscopic renal cooling with near-freezing saline irrigation delivered with a standard irrigator aspirator. Urology 2007;69:465–468.

    Article  PubMed  Google Scholar 

  36. Jablonski P, Howden BO, Rae DA, Birrell CS, Marshall VC, Tange J. An experimental model for assessment of renal recovery from warm ischemia. Transplantation 1983;35:198–204.

    Article  CAS  PubMed  Google Scholar 

  37. Shekarriz B, Shah G, Upadhyay J. Impact of temporary hilar clamping during laparoscopic partial nephrectomy on postoperative renal function: a prospective study. J Urol 2004;72:54–57.

    Article  Google Scholar 

  38. Kane CJ, Mitchell JA, Meng MV, Anast J, Carroll PR, Stoller ML. Laparoscopic partial nephrectomy with temporary arterial occlusion: description of technique and renal functional outcomes. Urology 2004;63:241–246.

    Article  PubMed  Google Scholar 

  39. Bhayani SB, Rha KH, Pinto PA, et al. Laparoscopic partial nephrectomy: effect of warm ischemia on serum creatinine. J Urol 2004;172:1264–1266.

    Article  CAS  PubMed  Google Scholar 

  40. Kubinski DJ, Clark PE, Assimos DG, Hall MC. Utility of frozen section analysis of resection margins during partial nephrectomy. Urology 2004;64:31–34.

    Article  PubMed  Google Scholar 

  41. Permpongkosol S, Columbo JR, Jr., Gill IS, Kavoussi LR. Positive surgical parenchymal margin after laparoscopic partial nephrectomy for renal cell carcinoma: oncological outcomes. J Urol 2006;176:2401–2404.

    Article  PubMed  Google Scholar 

  42. Johnston WK, III, Kelel KM, Hollenbeck BK, Daignault S, Wolf JS, Jr. Acute integrity of closure for partial nephrectomy: comparison of 7 agents in a hypertensive porcine model. J Urol 2006;175:2307–2311.

    Article  PubMed  Google Scholar 

  43. Rosevear HM, Montgomery JS, Roberts WW, Wolf JS, Jr. Characterization and management of post-operative hemorrhage following upper retroperitoneal laparoscopic surgery. J Urol 2006;176:1458–1462.

    Article  PubMed  Google Scholar 

  44. Wright JL, Porter JR. Renal artery pseudoaneurysm after laparoscopic partial nephrectomy. Urology 2005;66:1109.

    PubMed  Google Scholar 

  45. Gill IS, DeSai MM, Kaouk JH, et al. Laparoscopic partial nephrectomy for renal tumor: duplicating open surgical techniques. J Urol 2002;167:469–475.

    Article  PubMed  Google Scholar 

  46. Bove P, Bhayani SB, Rha KH, Allaf ME, Jarrett TW, Kavoussi LR. Necessity of ureteral catheter during laparoscopic partial nephrectomy. J Urol 2004;172:458–460.

    Article  PubMed  Google Scholar 

  47. Gill IS, Columbo JR, Jr., Moinzadeh A, et al. Laparoscopic partial nephrectomy in solitary kidney. J Urol 2006;175: 454–458.

    Article  PubMed  Google Scholar 

  48. Wolf JS, Jr., Seifman BD, Montie JE. Nephron-sparing surgery for suspected malignancy: open surgery compared to laparoscopy with selective use of hand-assistance. J Urol 2000;163:1659–1664.

    Article  PubMed  Google Scholar 

  49. Schiff JD, Palese M, Vaughan ED, Jr., Sosa RE, Coll D, Del Pizzo JJ. Laparoscopic vs open partial nephrectomy in consecutive patients: the Cornell experience. BJU International 2005;96:811–814.

    Article  PubMed  Google Scholar 

  50. Nadu A, Mor Y, Laufer M, et al. Laparoscopic partial nephrectomy: single center experience with 140 patients – evolution of the surgical technique and its impact on patient outcomes. J Urol 2007;178:435–439.

    Article  PubMed  Google Scholar 

  51. Simmons MN, Gill IS. Decreased complications of contemporary laparoscopic partial nephrectomy: use of a standardized reporting system. J Urol 2007;177:2067–2073.

    Article  PubMed  Google Scholar 

  52. Zorn KC, Gong EM, Orvieto MA, Gofrit ON, Mikhail AA, Shalhav AL. Impact of collecting-system repair during laparoscopic partial nephrectomy. J Endourol 2007;21:315–20.

    Article  PubMed  Google Scholar 

  53. Gill IS, Kavoussi LR, Lane BR, et al. Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 2007;178:41–46.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, University of Michigan Health System, Ann Arbor, MI, USA

    J. Stuart Wolf Jr. MD (Professor)

Authors
  1. J. Stuart Wolf Jr. MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Urology, University of Wisconsin-Madison School of Medicine & Public Health, 600 Highland Ave., 53792-3236, Madison, WI, USA

    Stephen Y. Nakada

  2. Department of Urology, University of Wisconsin-Madison School of Medicine & Public Health, 600 Highland Avenue, 53792, Madison, WI, USA

    Sean P. Hedican

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Wolf, J.S. (2010). Laparoscopic Partial Nephrectomy. In: Nakada, S.Y., Hedican, S.P. (eds) Essential Urologic Laparoscopy. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-820-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-820-1_10

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-819-5

  • Online ISBN: 978-1-60327-820-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation