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Laparoscopic partial nephrectomy: Taipei veterans general hospital experience
Yi-Shung Lin1, Hsiao-Jen Chung, Alex T L Lin
1Department of Surgery, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taiwan, R.O.C.
Journal of the Chinese Medical Association : JCMA
|August 7, 2010
Summary
Laparoscopic partial nephrectomy (LPN) shows encouraging oncologic and renal outcomes for small renal tumors, despite longer operative times. Further refinement is needed to improve efficiency and hemostasis for long-term renal function preservation.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic partial nephrectomy (LPN) is a standard treatment for small renal tumors.
- This study presents interim outcomes of LPN, focusing on complications and results.
Purpose of the Study:
- To evaluate the efficacy and safety of LPN for small renal tumors.
- To report complications and oncologic and renal functional outcomes of LPN.
Main Methods:
- Retrospective chart review of 46 LPN procedures in 45 patients (April 2004 - September 2008).
- Prospective collection of perioperative data and follow-up data on recurrence, metastasis, and renal function.
Main Results:
- Mean patient age was 54.8 years; mean tumor size was 3.81 cm.
- Major complication rate was 4.3% (1 delayed bleeding, 1 urine leakage).
- No distant metastasis or mortality observed; one local recurrence. Renal function showed a mean reduction of 21.9% at 3 months and 27.7% at 6 months postoperatively.
Conclusions:
- Interim oncologic and renal functional outcomes of LPN are encouraging.
- Longer warm ischemic time and operative time noted compared to other studies.
- LPN does not significantly impact long-term renal function, though procedural refinement is needed.

