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Laparoscopic Renal Ablation

  • Chapter
Essential Urologic Laparoscopy

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

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Abstract

Nephron sparing surgery (NSS) is accepted as the treatment of choice in patients with solitary kidney, bilateral renal masses, and in patients with renal insufficiency (1,2). In patients with renal tumors less than 4 cm and a normal contralateral kidney, NSS has been shown to have a decreased incidence of long-term renal insufficiency (2). It has also been associated with an improved quality of life (3,4). Open partial nephrectomy (OPN) is the gold standard treatment for NSS. Laparoscopic partial nephrectomy (LPN) has recently been popularized by Gill and associates (5). Although LPN has been shown to have good oncologic outcomes at an intermediate follow-up (6); it requires advanced laparoscopic skills and has associated perioperative morbidity (7,8). A recent large multicenter retrospective study compared the perioperative outcomes between open and laparoscopic partial nephrectomy (9). LPN was associated with shorter operative time, decreased operative blood loss, and shorter hospital stay. Although, the incidence of intraoperative complications was comparable in the two groups LPN was associated with longer ischemia time, more postoperative complications (particularly urological), and an increased number of subsequent procedures. Overall 25.2% of patients undergoing LPN had a postoperative complication compared to 19.8% who underwent OPN. After 3 months, renal functional outcomes for laparoscopic and open partial nephrectomy were similar.

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Author information

Authors and Affiliations

  1. Department of Urology, Thomas Jefferson University Hospital, Jefferson Medical College, Philadelphia, PA

    Gaurav Bandi MD (Assistant Professor)

  2. University of Wisconsin at Madison, Madison, WI

    Stephen Y. Nakada MD (The David T. Uehling Professor of Urology, Chairman of Urology)

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  1. Gaurav Bandi MD
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  2. Stephen Y. Nakada MD
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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

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

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Bandi, G., Nakada, S.Y. (2010). Laparoscopic Renal Ablation. 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_20

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  • DOI: https://doi.org/10.1007/978-1-60327-820-1_20

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-819-5

  • Online ISBN: 978-1-60327-820-1

  • eBook Packages: MedicineMedicine (R0)

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