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Mini-flank supra-11th rib incision for open partial or radical nephrectomy
Christopher J Diblasio1, Mark E Snyder, Paul Russo
1Department of Urology, Memorial Sloan-Kettering Cancer Center New York, NY 10021, USA.
BJU International
|December 13, 2005
Summary
This study shows a supra-11th rib mini-flank incision is a safe and effective approach for partial (PN) or radical nephrectomy (RN), offering good cancer control with fewer wound complications.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Increasing detection of early-stage renal tumors due to advanced imaging.
- Need for surgical approaches with minimal invasiveness and good oncological outcomes.
Purpose of the Study:
- To evaluate the supra-11th rib mini-flank incision for partial (PN) and radical nephrectomy (RN).
- To assess the safety, efficacy, and complication profile of this surgical approach.
Main Methods:
- Retrospective analysis of 167 patients undergoing PN or RN via supra-11th rib mini-flank incision.
- Data collected included operative details, blood loss, hospital stay, tumor characteristics, and complications.
- Specific analysis of ischemia and clamping times for PN.
Main Results:
- 133 patients (80%) underwent PN, 34 (20%) RN.
- Median operative time 2.9 hours, estimated blood loss 400 mL, tumor size 3.2 cm, hospital stay 5 days.
- Negative surgical margins in 98% of patients, with low rates of late wound complications (4%).
Conclusions:
- The supra-11th rib mini-flank incision is a viable alternative to traditional nephrectomy techniques.
- It provides optimal exposure without compromising cancer control.
- Offers excellent cosmetic results and a reduced risk of wound-site complications.
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