Current status of laparoscopic partial nephrectomy

Current Opinion in Urology

Volumn 20, Issue 5, 2010, Pages 365-370

  Eisenberg, Manuel S ^a   Brandina, Ricardo ^a   Gill, Inderbir S ^a  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

Author keywords

Indications; laparoscopic partial nephrectomy; technical modifications

Indexed keywords

CASE REPORT; COMORBIDITY; HEMOSTASIS; HUMAN; INTERMETHOD COMPARISON; ISCHEMIA; KIDNEY BLOOD VESSEL; KIDNEY TUMOR; LAPAROSCOPIC SURGERY; OBESITY; PARTIAL NEPHRECTOMY; PATIENT SAFETY; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; REVIEW; SOLITARY KIDNEY; TREATMENT INDICATION; TREATMENT OUTCOME; TUMOR LOCALIZATION; TUMOR VOLUME;

HUMANS; KIDNEY NEOPLASMS; LAPAROSCOPY; NEPHRECTOMY; PATIENT SELECTION; RISK ASSESSMENT; RISK FACTORS; TREATMENT OUTCOME;

EID: 77955472249     PISSN: 09630643     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOU.0b013e32833ce7dc     Document Type: Review

References (38)

1. Gill IS, Aron M, Gervais DA, Jewett MAS. Small renal mass. N Engl J Med 2010; 362:624-634. This is an up-to-date review of the incidence, workup and management of the small renal masses.
2. Huang WC, Levey AS, Serio AM, et al. Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. Lancet Oncol 2006; 7:735-740.
3. Weight CJ, Larson BT, Fergany AF, et al. Nephrectomy induced chronic renal insufficiency is associated with increased risk of cardiovascular death and death from any cause in patients with localized cT1b renal masses. J Urol 2010; 183:1317-1323. A large series of patients with 4-7cm renal masses undergoing radical or partial nephrectomy. Postoperative renal insufficiency was more common for radical nephrectomy and was a significant independent predictor of overall and cardiovascular specific survival.
4. Campbell SC, Novick AC, Belldegrun A, et al. Guideline for management of the clinical T1 renal mass. J Urol 2009; 182:1271-1279. This is an up-to-date guideline from the AUA describing current recommendations for the treatment of T1 renal masses.
5. Brandina R, Aron M. Laparoscopic partial nephrectomy: advances since 2005. Curr Opin Urol 2010; 20:111-118. This is a contemporary evaluation of the expansion of LPN into various clinical scenarios, as well as an in-depth comparison of LPN vs. OPN.
6. Leibovich BC, Blute ML, Cheville JC, et al. Nephron sparing surgery for appropriately selected renal cell carcinoma between 4 and 7 cm results in outcome similar to radical nephrectomy. J Urol 2004; 171:1066-1070.
7. Kim FJ, Rha KH, Hernandez F, et al. Laparoscopic radical versus partial nephrectomy: assessment of complications. J Urol 2003; 170 (2 Pt 1):408-411.
8. Simmons MN, Weight CJ, Gill IS. Laparoscopic radical versus partial nephrectomy for tumors >4 cm: intermediate-term oncologic and functional outcomes. Urology 2009; 73:1077-1082. An evaluation of intermediate-term data, indicating that for appropriately selected patients with tumors more than 4 cm, LPN provides equivalent oncologic efficacy and superior renal functional outcomes compared with laparoscopic partial nephrectomy.
9. Porpiglia F, Fiori C, Piechaud T, et al. Laparoscopic partial nephrectomy for large renal masses: results of a European survey. World J Urol 2010. [Epub ahead of print] A survey of six European centers showing that LPN for masses more than 4 cm is feasible in experienced hands, however longer WIT and higher complication rates may be expected compared with OPN.
10. Lifshitz DA, Shikanov SA, Deklaj T, et al. Laparoscopic partial nephrectomy for tumors larger than 4 cm: a comparative study. J Endourol 2010; 24. This is a comparison of LPN for T1a and T1b tumors showing no difference in WIT or EBL, but increased postoperative complications for larger tumors.
11. Simmons MN, Chung BI, Gill IS. Perioperative efficacy of laparoscopic partial nephrectomy for tumors larger than 4cm. European Urol 2009; 55:199-208. This is a large study comparing outcomes of LPN for tumors of varying sizes. Found comparable operative times, WIT, and complication rates between masses larger and smaller than 4cm.
12. Gill IS, Kamoi K, Aron M, Desai MM. 800 laparoscopic partial nephrectomies: a single surgeon series. J Urol 2010; 183:34-42. The largest single surgeon series of LPN to date. Cases are described by 'era' and show the change in practice patterns over the last 9 years.
13. Nadu A, Kleinmann N, Laufer M, et al. Laparoscopic partial nephrectomy for central tumors: analysis of perioperative outcomes and complications. J Urol 2009; 181:42-47. Compared LPN in central and peripheral tumors and found similar outcomes when performed by experienced surgeons.
14. Frank I, Colombo JR, Rubinstein M, et al. Laparoscopic partial nephrectomy for centrally located renal tumors. J Urol 2006; 175:849-852.
15. Lattouf J-B, Beri A, D'Ambros OFJ, et al. Laparoscopic partial nephrectomy for hilar tumors: technique and results. European Urol 2008; 54:409-418.
16. Richstone L, Montag S, Ost M, et al. Laparoscopic partial nephrectomy for hilar tumors: evaluation of short-term oncologic outcome. Urology 2008; 71:36-40.
17. Reisiger K, Venkatesh R, Figenshau RS, et al. Complex laparoscopic partial nephrectomy for renal hilar tumors. Urology 2005; 65:888-891.
18. Gill IS, Colombo JR, Frank I, et al. Laparoscopic partial nephrectomy for hilar tumors. J Urol 2005; 174:850-854.
19. Romero FR, Rais-Bahrami S, Muntener M, et al. Laparoscopic partial nephrectomy in obese and nonobese patients: comparison with open surgery. Urology 2008; 71:806-809.
20. Gill IS, Colombo JR, Moinzadeh A, et al. Laparoscopic partial nephrectomy in solitary kidney. J Urol 2006; 175:454-458.
21. Lane BR, Novick AC, Babineau D, et al. Comparison of laparoscopic and open partial nephrectomy for tumor in a solitary kidney. J Urol 2008; 179: 847-852.
22. Turna B, Kaouk JH, Frota R, et al. Minimally invasive nephron sparing management for renal tumors in solitary kidneys. J Urol 2009; 182:2150-2157. Compared LPN, cryoablation, and radiofrequency ablation in patients with a solitary kidney. Found that intermediate term oncological outcomes were superior for LPN despite somewhat poorer renal function outcomes.
23. Singh D, Finelli A, RubinsteinM, et al. Laparoscopic partial nephrectomy in the presence of multiple renal arteries. Urology 2007; 69:444-447.
24. Flum AS, Wolf JSJ. Laparoscopic partial nephrectomy for multiple ipsilateral renal tumors using a tailored surgical approach. J Endourol 2010; 24. This is a small study evaluating several resection techniques for the removal of multiple renal masses.
25. Lin Y-C, Turna B, Frota R, et al. Laparoscopic partial nephrectomy versus laparoscopic cryoablation for multiple ipsilateral renal tumors. Eur Urol 2008; 53:1210-1218.
26. Turna B, Aron M, Frota R, et al. Feasibility of laparoscopic partial nephrectomy after previous ipsilateral renal procedures. Urology 2008; 72:584-588. Found that LPN after previous renal surgery was feasible, however was often technically difficult, requiring significant previous experience.
27. Wright JL, Porter JR. Laparoscopic partial nephrectomy: comparison of transperitoneal and retroperitoneal approaches. J Urol 2005; 174:841-845.
28. Aron M, Canes D, Desai MM, et al. Transumbilical single-port laparoscopic partial nephrectomy. Br J Urol Int 2008; 103:516-521.
29. van Dijk JH, Pes PLM. Haemostasis in laparoscopic partial nephrectomy: current status. Minimally Invasive Therapy and Allied Technologies 2007; 16:31-44.
30. Gill IS, Ramani AP, Spaliviero M, et al. Improved hemostasis during laparoscopic partial nephrectomy using gelatin matrix thrombin sealant. Urology 2005; 65:463-466.
31. Wille AH, Johannsen M, Miller K, Deger S. Laparoscopic partial nephrectomy using Floseal for hemostasis: technique and experiences in 102 patients. Surg Innov 2009; 16:306-312. In this series Floseal application was used as the primary hemostatic technique, with minimal parenchymal suturing.
32. Weight CJ, Lane BR, Gill IS. Laparoscopic partial nephrectomy for selected central tumours: omitting the bolster. Br J Urol Int 2007; 100:375-378.
33. Desai MM, Gill IS, Ramani AP, et al. The impact of warm ischaemia on renal function after laparoscopic partial nephrectomy. Br J Urol Int 2005; 95:377-383.
34. Bhayani SB, Rha KH, Pinto PA, et al. Laparoscopic partial nephrectomy: effect of warm ischemia on serum creatinine. J Urol 2004; 172:1264-1266.
35. Simmons MN, Schreiber MJ, Gill IS. Surgical renal ischemia: a contemporary overview. J Urol 2008; 180:19-30.
36. Becker F, Poppel HV, Hakenberg OW, et al. Assessing the impact of ischaemia time during partial nephrectomy. Eur Urol 2009; 56:625-635. This is a comprehensive review of the literature pertaining to ischemia during partial nephrectomy. On the basis of their analysis they recommend a maximum WIT of 20 min, an optimal cold ischemia time of less than 35 min regardless of surgical approach.
37. Gill IS, Kavoussi LR, Lane BR, et al. Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 2007; 178:41-46.
38. Nguyen MN, Gill IS. Halving ischemia time during laparoscopic partial nephrectomy. J Urol 2008; 179:627-632.