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Laparoscopic Partial Nephrectomy: A Narrative Review and Comparison with Open and Robotic Partial Nephrectomy
Andrew M Ng1, Paras H Shah1, Louis R Kavoussi1
1Arthur Smith Institute of Urology , New Hyde Park, New York.
Journal of Endourology
|September 23, 2017
Summary
Laparoscopic partial nephrectomy (LPN) offers comparable functional, oncologic, and complication outcomes to open surgery for kidney cancer. Advances in robotic technology may further enhance surgical and patient results.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Kidney cancer, predominantly renal cell carcinoma, is a leading cancer in Western countries.
- Management of small renal masses emphasizes nephron-sparing surgery, including laparoscopic partial nephrectomy (LPN).
Purpose of the Study:
- To review the current status of laparoscopic partial nephrectomy (LPN).
- To synthesize evidence on intraoperative techniques, outcomes, and comparisons with other surgical approaches.
Main Methods:
- A PubMed search was conducted using terms 'laparoscopy,' 'nephrectomy,' and 'partial.'
- Filters included clinical trials, reviews, human subjects, and English language publications.
Main Results:
- Laparoscopic partial nephrectomy (LPN) demonstrates reduced ischemia time compared to open partial nephrectomy.
- LPN achieves equivalent functional and oncologic outcomes.
- Complication rates for LPN are comparable to open partial nephrectomy.
Conclusions:
- Laparoscopic partial nephrectomy (LPN) is a viable alternative to open partial nephrectomy.
- Future advancements in laparoscopic and robotic technology hold promise for improving surgical and patient outcomes.
