Advances in nephron-sparing surgeries have led to an evolution in the standard of care management for small renal masses. Laparoscopic partial nephrectomy, by duplicating established principles of open surgery, has emerged as a viable alternative to open partial nephrectomy in select patients. In the continuing evolution of this minimally invasive approach to nephron-sparing surgery, laparoscop...

OBJECTIVES To determine the best approach for live donor nephrectomy to minimise discomfort to the donor and to provide good graft function. DESIGN Single blind, randomised controlled trial. SETTING Two university medical centres, the Netherlands. PARTICIPANTS 100 living kidney donors. INTERVENTIONS Participants were randomly assigned to either laparoscopic donor nephrectomy or to mini ...

Laparoscopic procedures continue to gain popularity over traditional open operations for a variety of abdominal and retroperitoneal surgical procedures. With regard to urological surgery, the first laparoscopic nephrectomy was performed in an adult in 1991. In the following years, the feasibility of laparoscopic management of pediatric urological disorders was described, and in 1992 the first l...

BACKGROUND AND OBJECTIVES Laparoscopic Doppler technology has previously been reported to help identify vasculature during laparoscopy. Recently, we published our initial experience with this technology during laparoscopic radical nephrectomy, laparoscopic nephroureterectomy, laparoscopic partial nephrectomy, and robotic-assisted laparoscopic pyeloplasty. We now present a prospective, pilot eva...

Purpose: We compared renal function outcomes in patients undergoing open or laparoscopic radical nephrectomy. Materials and Methods: Seventy-one patients undergoing open or laparoscopic radical nephrectomy for kidney disease with a normal contralateral kidney were identified between January 2004 and December 2007. Renal function was calculated by using the Cockcroft-Gault formula. Serial renal ...

BACKGROUND The increase of intraabdominal pressure to 10 mmHg provokes a decrease of renal blood flow (RBF). Pneumoperitoneum during laparoscopic techniques with intra-abdominal pressure (IAP) to 15 mmHg, results in a decrease in RBF, urine output and glomerular filtration rate (GFR). PURPOSE Analyze the changes in RBF, urine output an GFR in a porcine experimental model during open vs laparo...

INTRODUCTION Robotic partial nephrectomy is an effective alternative to laparoscopic partial nephrectomy. The 3-arm and 4-arm transperitoneal robotic approaches are well described in the literature. However, a retroperitoneal robotic technique has yet to be fully described. We report our technique and initial experience with robotic retroperitoneal partial nephrectomy with a novel 4-arm approac...

OBJECTIVE To evaluate differences between Laparoscopic Partial Nephrectomy (LPN) and Robot-Assisted Partial Nephrectomy (RAPN) using the Margin, Ischemia and Complications (MIC) score system and to evaluate factors related with MIC success. MATERIALS AND METHODS Single centre retrospective study on 258 LPN and 58 RAPN performed between January 2012 and January 2014. Success was defined when s...

We describe the pathological and clinical presentation of a rare case of renal paraganglioma occurring as an incidental left renal mass in a 58-year-old woman. The patient underwent robotic assisted laparoscopic partial nephrectomy, which is the first one in the literature.

quite a few series emphasizing the feasibility of retro­ peritoneoscopic urologic surgeries in children. Laparoscopic surgery or minimal invasive surgery is a wellestablished surgical technique in modern day practice. Our objective was to evaluate the feasibility and efficacy Clayman reported the first transperitoneal nephrectomy. of laparoscopic nephrectomy. We report our experience Since then...