Difficulties in retroperitoneal laparoscopic radical nephrectomy

Ricardo Brandina, Andre Berger, Robert J. Stein, Inderbir S. Gill

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Laparoscopic radical nephrectomy is now routine practice for management of patients with localized renal cell carcinoma. Compared with open radical nephrectomy, the laparoscopic approach is associated with comparable operative time, decreased blood loss, superior recovery, improved cosmesis, and equivalent cancer control over a long-term follow-up. Even though the retroperitoneal approach has a smaller working space, it offers several unique advantages, including expeditious access to renal artery and vein allowing early ligation, extrafascial mobilization of the kidney, and en bloc removal of the adrenal gland, recapitulating the principles of open surgery.4 1-3

Original languageEnglish (US)
Title of host publicationDifficult Conditions in Laparoscopic Urologic Surgery
PublisherSpringer London
Pages79-90
Number of pages12
ISBN (Print)9781848821040
DOIs
StatePublished - Dec 1 2011

ASJC Scopus subject areas

  • Medicine(all)

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