Laparoscopic Nephrectomy and Resection in the Therapy of Renal Tumors
The aim of the investigation is to study the immediate results of laparoscopic surgeries in patients with localized renal cell carcinoma.
Materials and Methods. There were analyzed the results of treatment of 76 patients with renal cell carcinoma operated from 2009 till 2012 using laparoscopic techniques. There were 35 (46%) males and 41 (54%) females, average age — 55.30±1.36 (min 24 y/o and max 76 y/o).
Results. The duration of laparoscopic surgery directly depended on a surgeon’s experience. The operation time decreased with the improvement of surgeon experience in performing laparoscopic procedures. Moreover, particular features of vascular anatomy of kidneys, adhesive process (11.8%) also influenced the operation duration. When mastering the technique of laparoscopic operation on kidney the timing of surgery as on the average 240.0±19.7 min (min 180, and max 335 min), subsequently, the average operation time decreased on the average up to 110.00±4.57 min (min — 88, and max — 180 min). On gaining experience in performing laparoscopic operations, there was introduced the laparoscopic nephrectomy technique without total ischemia with selective segmental aortic cross-clamming.
Conclusion. The analysis of immediate results of laparoscopic operations in patients with renal cell carcinoma demonstrated its high efficiency and safety. The results of laparoscopic nephrectomies and resections of kidney are reliably improved when technologies are advanced and surgeons’ experience is gained.
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