Objective: To evaluate the efficacy of retrolaparoscopic partial nephrectomy in the treatment of renal cell carcinoma.
Methods: Retroperitoneoscopic partial nephrectomy was performed
in 11 patients with small renal cell carcinoma. The mean tumor
diameter was 3.2 cm (range, 2.0-4.5 cm). The operation duration,
postoperative hospital stay, blood loss, and postoperative
complications were observed.
Results: Retroperitoneoscopic partial nephrectomy was successfully
performed in all 11 patients. The mean operation duration was
140 min (range, 120-160 min). The mean blood loss was 120 mL
(range, 50-250 mL).The mean renal artery blood flow occlusion
time was 30 min (range, 25-45 min). The mean postoperative
hospitalization stay was 6 d (range, 5-7 d). The surgical margin
was negative in all patients. Followed-up (mean: 8 months;
range, 3 to 12 months) showed no recurrence or functional loss
of the remaining kidney.
Conclusions: With less trauma and bleeding, shorter postoperative
hospital stay, and quicker recovery, petroperitoneoscopic partial
nephrectomy is a safe and effective procedure for small renal cell
carcinoma. It can be an alternative to open surgery.