Laparoscopic partial nephrectomy for renal tumours: early experience in Singapore general hospital
Annals of the Academy of Medicine, Singapore
; : 576-575, 2009.
Article
em En
| WPRIM
| ID: wpr-290352
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>To review the perioperative and short-term outcome of all laparoscopic partial nephrectomies (LPN) performed in a single institution.</p><p><b>MATERIALS AND METHODS</b>Thirteen consecutive patients who underwent LPN since the beginning of the programme in March 2002 to January 2008 were enrolled. Demographic, perioperative and follow-up data were retrospectively collected. Transperitoneal approach was used in all cases, and vascular control was achieved with the use of a laparoscopic Satinsky clamp or vascular tape. The tumour was excised using cold scissors. Transected intrarenal vessels were suture ligated and the parenchymal defect was closed primarily with absorbable suture over a bolster.</p><p><b>RESULTS</b>Thirteen patients underwent a total of 14 LPN. The median age of patients was 60 years (range, 41 to 77). The mean tumour size was 24 +/- 11.4 (2SD) mm. The mean operative time was 228 +/- 129 (2SD) minutes and median warm ischaemia time was 35 minutes (range, 24 to 68). Postoperatively, serum haemoglobin level decreased by a mean of 1.4 +/- 2.5 (2SD) gm/dL and serum creatinine increased by a mean of 22.5 +/- 25.8 (2SD) micromol/L. Twelve out of 13 (92%) patients achieved their baseline serum creatinine level within 1 month postoperatively. There was 1 open conversion (7%), and 2 patients (14%) required blood transfusion perioperatively. Two patients (14%) had transient fever postoperatively due to basal atelectasis. No other complications were encountered. Median patient hospital stay was 4 days (range, 2 to 10). Eleven out of 14 (79%) of the tumours were renal cell carcinoma (RCC). At a median follow-up of 12 months (range, 6 to 53), all except 1 patient with RCC were disease-free.</p><p><b>CONCLUSIONS</b>Our experience has shown that laparoscopic partial nephrectomy is a safe, feasible technique in our centre for patients with small exophytic renal tumours. Patients can be discharged early with preservation of renal function and good early cancer control.</p>
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Índice:
WPRIM
Assunto principal:
Singapura
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Cirurgia Geral
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Carcinoma de Células Renais
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Estudos Retrospectivos
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Laparoscopia
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Hospitais Gerais
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Neoplasias Renais
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Tempo de Internação
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Métodos
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Nefrectomia
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2009
Tipo de documento:
Article