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- Title
Retroperitoneoscopic Partial Nephrectomy for Moderately Complex Ventral Hilar Tumors: Surgical Technique and Trifecta Outcomes from a Single Institution in China.
- Authors
Liu, Longfei; Qi, Lin; Li, Yangle; Chen, Minfeng; Li, Chao; Cheng, Xu; Liu, Peihua; Zu, Xiongbing
- Abstract
<bold>Objectives: </bold>T1 ventral renal hilar tumors (VRHTs) represent a very special type of tumor, for which laparoscopic partial nephrectomy (LPN) by the retroperitoneal approach is challenging. In this study, we report our surgical technique and Trifecta results.<bold>Methods: </bold>Renal rotation technique has been established for retroperitoneal laparoscopic partial nephrectomy (RLPN) for VRHTs in our institution. Trifecta was used as a composite outcome measure for assessing quality of PLPN using this technique. A retrospective analysis of RLPN cases in 12 patients with VRHTs was performed.<bold>Results: </bold>Mean tumor size was 3.4 cm and median R.E.N.A.L. score was 8 (range 7-9). Mean warm ischemia time was 23.1 minutes, suture time 28.1 minutes, estimated blood loss 139.2 mL, operation time 122.8 minutes, and median hospital stay was 4 days. Three patients (25.0%) had Clavien-Dindo grade I-II complications. Seven patients (58.3%) achieved Trifecta. Postoperative pathological examination showed renal cell carcinoma in all cases with negative surgical margin. A median follow-up of 7 months revealed no local recurrence or distant metastases.<bold>Conclusions: </bold>Our Trifecta outcomes demonstrate that RLPN with renal rotation technique is feasible, safe, and effective for moderately complex VRHTs. The short-term functional and oncologic outcomes are promising; however, long-term follow-up is needed.
- Subjects
CHINA; KIDNEY tumors; NEPHRECTOMY; KIDNEY surgery; LAPAROSCOPIC surgery; TUMOR surgery; CANCER relapse; LENGTH of stay in hospitals; LAPAROSCOPY; RENAL cell carcinoma; RETROPERITONEUM; SURGICAL complications; RETROSPECTIVE studies; SURGICAL blood loss; SURGERY
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2017, Vol 27, Issue 8, p812
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2016.0194