Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Randomized, Prospective Evaluation of Hemostatic Agents in Robotic-Assisted Laparoscopic Partial Nephrectomy.

The Journal of urology·2025

Same author

Primary site stereotactic ablative body radiotherapy in localized, recurrent, and metastatic renal cell carcinoma.

Clinical and translational radiation oncology·2024

Same author

Comparison of surgical effectiveness: kidney sparing surgery for upper tract urothelial carcinoma.

Current opinion in urology·2024

Same author

Propensity Score-Matched Analysis of Perioperative Outcomes of Supine versus Prone Percutaneous Nephrolithotomy.

Journal of clinical medicine·2024

Same author

Functional outcomes of GreenLight 180-W photoselective vaporization in patients with large (≥ 80 cc) prostates: an analysis of over 3000 men in the Global Greenlight Group (GGG) database.

World journal of urology·2022

Same author

Efficacy and safety of methoxyflurane (Penthrox) for pain control during water vapor thermal therapy (Rezum) for benign prostatic enlargement.

The Canadian journal of urology·2022

Search research articles

Related Experiment Video

Updated: Jun 18, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Laparoscopic partial nephrectomy for tumors larger than 4 cm: a comparative study.

David A Lifshitz¹, Sergey A Shikanov, Tom Deklaj

¹Section of Urology, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois, USA. davidlif@netvision.net.il

Journal of Endourology

|December 5, 2009

Summary

Laparoscopic partial nephrectomy for larger renal tumors (>4 cm) shows higher complication rates and pathologic upstaging. Discuss these risks with patients before surgery.

More Related Videos

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Related Experiment Videos

Last Updated: Jun 18, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience

Published on: December 4, 2023

Area of Science:

Urology
Oncology
Surgical Outcomes

Background:

Renal tumors are common, and partial nephrectomy is a standard treatment.
Distinguishing between clinical T1a and T1b renal tumors is crucial for surgical planning.

Purpose of the Study:

To compare perioperative and functional outcomes of laparoscopic partial nephrectomy (LPN) for clinical T1a versus T1b renal tumors.

Main Methods:

A prospective database review of 184 patients undergoing LPN.
Patients were stratified into clinical T1a (n=149) and T1b (n=35) groups.
Perioperative and postoperative outcomes were compared between groups.

Main Results:

No significant differences in operative time, blood loss, or warm ischemia time.
Higher postoperative complication rates (25.7% vs 12%) and significant understaging (29% upstaged to pT2/pT3) in the T1b group.
Greater prevalence of high-grade tumors and a trend towards positive surgical margins in the T1b group.
Increased decline in estimated creatinine clearance in the T1b group.

Conclusions:

LPN for tumors >4 cm is safe but associated with increased postoperative complications and higher rates of pathologic upstaging.
Counseling patients with larger renal tumors about these risks is essential.