Robotic and laparoscopic partial nephrectomy for T1b tumors
Louis Spencer Krane1, Ashok K Hemal
1Wake Forest University, Department of Urology, North Carolina 27157-1094, USA.
Current Opinion in Urology
|July 25, 2013
Summary
Minimally invasive partial nephrectomy, using laparoscopic or robotic approaches, is a safe and effective option for T1b renal masses. This approach offers excellent oncologic and functional outcomes with acceptable safety profiles for patients.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Laparoscopic and robotic-assisted partial nephrectomy are standard for small renal masses.
- Their application in larger T1b renal masses ( > 4 cm) is less established.
Purpose of the Study:
- To review published series on minimally invasive partial nephrectomies for T1b renal masses.
- To evaluate the safety and efficacy of these techniques for larger lesions.
Main Methods:
- Systematic review of published literature on laparoscopic and robotic partial nephrectomy for T1b renal masses.
- Analysis of oncologic outcomes, functional results, and complication rates.
Main Results:
- Minimally invasive partial nephrectomy is a safe option for T1b lesions with promising oncologic results.
- Low positive margin rates and minimal progressive disease were observed.
- Renal function is maintained long-term, though complication rates may be slightly increased.
Conclusions:
- Laparoscopic and robotic partial nephrectomy are well-tolerated and viable for cT1b renal masses.
- Excellent oncologic and functional outcomes are achievable with acceptable safety.
- Consideration for elective and absolute indications is recommended, emphasizing surgeon experience and patient assessment.
