Gasless laparoscopy-assisted nephrectomy without tissue morcellation for renal carcinoma
K Suzuki1, H Masuda, T Ushiyama
1Department of Urology, Hamamatsu University School of Medicine, Japan.
Purpose:
The efficacy of gasless laparoscopy-assisted nephrectomy for renal tumors is determined.
Materials And Methods:
Seven patients with renal tumors underwent gasless laparoscopy-assisted nephrectomy. The results were compared to those of patients undergoing open nephrectomy.
Results:
Although a long operating time was required, convalescence was significantly more rapid. En bloc removal of the kidney and complete pathological examination were possible in all patients.
Conclusions:
This procedure may be useful for the treatment of noninvasive renal carcinoma, especially in patients with cardiovascular and/or ventilatory complications. However, long-term followup is necessary to confirm the efficacy in preventing recurrence.


