Laparoscopic versus open nephrectomy for renal cell carcinoma?
1Department of Urology, Helsinki University Hospital, Helsinki, Finland. kimmo.taari@hus.fi
Abstract:
Laparoscopic radical nephrectomy has become a well-standardized and reproducible, but technically demanding procedure. It is rapidly replacing the traditional open technique in radical nephrectomy with T1-2 tumours. Open operation will mainly be reserved for T3 tumours. Nephron-sparing surgery will play a major role in small (<4 cm) peripheral tumours. Open technique is still the standard for NSS, but with the refined techniques, laparoscopy may be soon coming.


