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Laparoscopic Radical Nephrectomy: Transperitoneal Approach

  • Chapter
Essential Urologic Laparoscopy

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

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Abstract

Radical nephrectomy, as described by Robson et al. in 1963, is the traditional gold standard approach to the management of renal tumors (1). This procedure has an established success rate but is associated with significant postoperative pain and prolonged convalescence, stemming from the flank, subcostal, Chevron or thoraco-abdominal incisions typically used. Laparoscopic radical nephrectomy, as introduced by Clayman and associates in 1991, has become a suitable alternative to open radical nephrectomy over the 16 years since this first reported case (2). It is equally efficacious for small- to medium-sized tumors which are deemed not amenable to partial nephrectomy and also for larger tumors, in some cases as large as 25 cm (authors’ experience) (3,4). Cases with renal vein and limited subhepatic inferior vena caval thrombus can also be managed laparoscopically in high volume centers with extensive experience (5–9).

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Author information

Authors and Affiliations

  1. Department of Urology, University of California, Irvine, Orange, CA, USA

    Leslie A. Deane MBBS, FRCSC

  2. Division of Urology, University of Pennsylvania School of Medicine, Philadelphia, PA, Pennsylvania

    David I. Lee MD (Chief of the Division of Urology at Penn Presbyterian Medical Center, Assistant Professor of Surgery)

  3. Department of Urology, Columbia University Medical Center, New York, NY, USA

    Jaime Landman MD (Director of Minimally Invasive Urology)

  4. Department of Urology, Indiana University School of Medicine, Indianapolis, IN, USA

    Chandru P. Sundaram MD (Associate Professor)

  5. Department of Urology, University of California at Irvine, Orange, CA, USA

    Ralph V. Clayman MD (Professor and Chair)

Authors
  1. Leslie A. Deane MBBS, FRCSC
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  2. David I. Lee MD
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  3. Jaime Landman MD
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  4. Chandru P. Sundaram MD
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  5. Ralph V. Clayman MD
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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

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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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Deane, L.A., Lee, D.I., Landman, J., Sundaram, C.P., Clayman, R.V. (2010). Laparoscopic Radical Nephrectomy: Transperitoneal Approach. 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_8

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  • DOI: https://doi.org/10.1007/978-1-60327-820-1_8

  • 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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