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Laparoscopic partial nephrectomy.

Glenn S Gerber1, Benjamin R Stockton

  • 1Department of Urology, University of Chicago, Chicago, Illinois 60637, USA. ggerber@surgery.bsd.uchicago.edu

Journal of Endourology
|March 1, 2005
PubMed
Summary
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Laparoscopic partial nephrectomy (LPN) is increasingly favored for small renal masses. However, urologists still debate techniques for vascular control and stent use during nephron-sparing surgery.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Oncology

Background:

  • Endourology practice patterns are rapidly evolving.
  • Previous surveys did not capture international trends in urological procedures.

Purpose of the Study:

  • To survey current practice trends in endourology.
  • To include non-American urologists in the assessment of practice patterns.
  • To evaluate the adoption of laparoscopic partial nephrectomy (LPN).

Main Methods:

  • An internet-based survey was distributed to 193 urologists from the 2003 World Congress of Endourology database.
  • Respondents had a mean of 9.9 years in practice.
  • Survey assessed time spent on endourology and laparoscopy.

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Main Results:

  • 56% of urologists perform laparoscopic partial nephrectomy (LPN).
  • 65% prefer LPN for uncomplicated 3-cm renal masses.
  • Most use renal artery clamping for vascular control and avoid ureteral stents unless the collecting system is entered.

Conclusions:

  • Laparoscopic partial nephrectomy (LPN) shows growing acceptance for nephron-sparing surgery in small renal masses.
  • Discrepancies exist regarding vascular control methods, hemostatic agents, and ureteral stent necessity when the collecting system is entered.