PURPOSE Partial nephrectomy (PN) remains underutilized within the United States and few reports have attempted to explain this trend. The aim of this study is to evaluate the nationwide incidence of unsuccessful PN and factors that predict its occurrence. METHODS Using the Premier Healthcare Database, we retrospectively analyzed a weighted sample of 66,432 patients undergoing curative surgery...

OBJECTIVE To comparatively evaluate the traditional interrupted knot-tying and running suture renorrhaphy with Monocryl® in laparoscopic partial nephrectomy (LPN). MATERIALS AND METHODS A retrospective analysis of 62 consecutive patients undergoing LPN using traditional interrupted knot-tying suture renorrhaphy (Group 1; n=31) or running suture technique renorrhaphy with 2-0 monofilament poly...

Nephron-sparing surgery is currently considered the gold standard treatment for T1 renal tumors. As laparoscopic partial nephrectomy (LPN) represents a technically challenging procedure, robotic surgery has been increasingly used during the last few years in the field of nephron-sparing surgery. The aim of this review is to analyze the techniques and outcomes of robotic partial nephrectomy (RPN...

OBJECTIVES To critically review the currently available evidence of studies comparing robotic partial nephrectomy (RPN) and open partial nephrectomy (OPN). MATERIALS AND METHODS A comprehensive review of the literature from Pubmed, Web of Science and Scopus was performed in October 2013. All relevant studies comparing RPN with OPN were included for further screening. A cumulative meta-analysi...

PURPOSE The learning curve for robot-assisted partial nephrectomy (RAPN) has not been extensively studied. We therefore evaluated the learning curve of RAPN for a fellowship-trained laparoscopic surgeon with extensive prior experience with laparoscopic partial nephrectomy (LPN). We also examined the potential effect of tumor size on the learning curve. PATIENTS AND METHODS We prospectively ev...

Partial nephrectomy is emerging as the standard of care for small exophytic renal tumors <4cm regardless of renal function status. In comparison to radical nephrectomy, studies have demonstrated equivalent oncologic control and decreased risk of renal insufficiency. While laparoscopic radical nephrectomy has been widely adopted as the procedure of choice for large renal masses, laparoscopic par...

The authors report the first case series of conventional laparoscopic partial nephrectomy in Thailand Laparoscopic partial nephrectomy was successfully performed in two patients with small renal tumors. The first patient underwent transperitoneal laparoscopic partial nephrectomy for a 3.8 x 3.3 cm renal mass. Intraoperative blood loss was 100 ml with warm ischemic time of 38 minutes. Pathologic...

Submit Manuscript | http://medcraveonline.com Abbreviations: SRMs: Small Renal Masses; CRA: Cryoablation; RFA: Radiofrequency Ablation; PN: Partial Nephrectomy; LPN: Laparoscopic Partial Nephrectomy; RAPN: Robotic Assisted Partial Nephrectomy; RFA: Radio Frequency Ablation; HIFU: High Intensity Focused Ultrasound; CT: Computerized Tomography; MRI: Magnetic Resonance Imaging; US: Ultrasound; RVS...

BACKGROUND Renal cell carcinoma (RCC) is a common malignancy of the urinary system with high rates of morbidity and mortality. OBJECTIVES This study aimed to investigate and analyze the clinical efficacy of retroperitoneal laparoscopic partial nephrectomy and laparoscopic radical nephrectomy for the treatment of small RCC. METHODS In this retrospective study of 45 patients with small RCC, t...

Radical nephrectomy is the gold standard curative operation for patients with localized renal cell carcinoma (RCC). Since its introduction in 1990, laparoscopic radical nephrectomy is being increasingly done at numerous institutions worldwide. In the hands of experienced laparoscopic urological surgeons and with adherence to established principles of open radical nephrectomy, laparoscopic radic...