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《Chinese Journal of Clinical Medicine》 2018-04
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Laparoscopic partial nephrectomy for complete endophytic renal cell carcinoma:clinical efficacy and surgical technique

XIAO Cheng-wu;SHENG Jia-yan;YANG Qing;Department of Urology,Changhai Hospital,Navy Military Medical University;  
Objective:To evaluate the clinical efficacy and surgical technique of laparoscopic partial nephrectomy(LPN)in patients with endophytic renal cell carcinoma(RCC).Methods:The data of 28 patients who underwent LPN during May 2013 to June 2016 for RCC were retrospectively analyzed.The clinical data were collected before and after the operation.Results:During the operation,all the patients were operated successfully through laparoscopic ultrasonography to localize of the tumor.In 5 cases,the technique of simultaneous occlusion of the arteriovenous system was used,and the repair of the collection system was performed in 26 patients.The mean operation time was(60±14.2)min,mean renal warm ischemia time was(25±4.6)min.Six months after the operation the glomerular filtration rate(GFR)of ipsilateral kidney was decreased from preoperative(47.6±4.1)mL/min to postoperative(37.0±3.9)mL/min,and the GFR of contralateral kidney was increased from preoperative(47.6±4.7)mL/min to postoperative(55.7±5.8)mL/min,the differences were statistically significant.However,there was no statistical difference in overall renal function and serum creatinine before and after surgery.Conclusions:Laparoscopic partial nephrectomy for renal cell carcinoma is safe and effective.Although the renal function of the ipsilateral kidney is influenced,the overall renal function and creatinine level can be compensated by the contralateral side.
【CateGory Index】: R737.11
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