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[Laparoscopic partial nephrectomy for renal tumors. Time for a new standard?]
S Bier1, T Todenhöfer, S Aufderklamm
1Klinik für Urologie, Eberhard-Karls-Universität Tübingen, Hoppe-Seyler Straße 3, 72076, Tübingen, Deutschland.
Purpose:
Our aim was to evaluate the laparoscopic partial nephrectomies (LPN) performed at our hospital and compare the results with those from other current studies on partial nephrectomy.
Patients And Methods:
Between March 2006 and January 2014, 280 patients were treated with LPN in our hospital. We evaluated age, sex, and surgical parameters like operating time, warm ischemia time (WIT), hospital stay, complications, tumor staging, grading, and size
Results:
The patients were 61.6±12.4 years old. The median operating time for LPN was 134±51 min. A total of 30% of the operations were treated using the zero ischemia technique. The WIT was 19.9±9.8 min. The WIT of the last 50 LPN performed was 13±7 min. Complications were documented in 15% of the LPNs.
Conclusion:
LPN is a curative treatment option for the renal cell carcinoma similar to open partial nephrectomy; however, laparoscopy is associated with lower morbidity.
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