medigraphic.com
ISSN 2305-7939 (Electronic)

2013, Number 1

<< Back Next >>

RCU 2013; 2 (1)

Nefrectomía radical laparoscópica. Experiencia en 14 casos

Fernández GA, Carreño RJ, González MR, García GJ, Menéndez GA, Albelo AY

Language: Spanish
References: 31
Page: 7-23
PDF size: 313.10 Kb.


ABSTRACT

Introduction: The laparoscopy nephrectomy is only 22 years ago since it was described by Clayman back in 1990. There have been a lot of published reports about it being in many specialized centers the ideal technique in the treatment of renal cancer in the stages TI and TII. Objectives: Show the first cases of laparoscopic radical nephrectomy affected by cancer in the stages TI and TII, evaluating complications and evolution. Material and Method: An observational, descriptive and transversal study took place with 14 patients diagnosed with hipernephromy from December 2005 till December 2012 at Comandante Faustino Pérez Hernández in Matanzas city. Results: The 14 patients had a surgery using transperitonal laparoscopic, all cases diagnosed with renal cell Carcinoma in stages TI and TII. The average age is 54 years, most of male sex, the post operatory stay was of 2.2 days. Conclusion: The laparoscopic approach is the most appropriate for the treatment of renal tumors in stages TI and TII.


REFERENCES

  1. Robson CJ, Churchill BM, Anderson. The results of radical nefrectomy for renal cell carcinoma. J Urol. 1969;101:297-301.

  2. Clayman RV, Kavoussi LR, Soper NJ, Dierks SM, Meretyk S, Darcy MD. Laparoscopic nephrectomy: initial case report. J Urol 1991; 164: 278-82

  3. Rattner D, Kalloo A and the SAGES/ASAGE working group on natural orifice translumenal endoscopic surgery. SurgEndosc 2006;20(2):329-333

  4. Rattner D and Hawes R. NOTES: Gathering momentum. GastrointestEndosc 2006;63(6):838-39.

  5. Pelosi MA, Pelosi MAIII, Laparoscopic hysterectomy with bilateral salpingo-ooforectomy using a single umbilical port. NJ Med 1991; 88(10):721-726.

  6. Ryan P Kopp, Jonathan L Silberstein,Ithaar H Derweesh: Laparo-endoscopic single-site (LESS) radical nephrectomy with renal vein thrombectomy: initial report. BMC Urology 2010, 10:8 Disponible en: http://www.biomedcentral.com/1471-2490/10/8

  7. Eng MK, Katz MH, Bernstein AJ, Shikanov S, Shalhav AL, Zorn KC.:Laparoscopic port-site metastasis in urologic surgery. J Endourol. 2008 Aug;22(8):1581-5.doi: 10.1089/end.2008.0329.

  8. N. Kadi, M. Isherwood, M. Al-Akraa, and S. Williams, "Port-Site Metastasis after Laparoscopic Surgery for Urological Malignancy: Forgotten or Missed," Advances in Urology, vol. 2012, Article ID 609531, 5 pages, 2012. doi:10.1155/2012/609531

  9. Hemal AK , Kumar A , Kumar R , P Wadhwa , Seth A , Gupta NP.:Laparoscopic versus open radical nephrectomy for large renal tumors: a long-term prospective comparison.J Urol. 2007 Mar;177(3):862-6.

  10. Colombo JR Jr, Haber GP, Jelovsek JE, Lane B, Novick AC, Gill IS.:Seven years after laparoscopic radical nephrectomy: oncologic and renal functional outcomes.Urology.2008 Jun;71(6):1149-54. doi: 10.1016/j.urology.2007.11.081. Epub 2008 Mar 3.

  11. Luo JH, Zhou FJ, Xie D, Zhang ZL, Liao B, Zhao HW, Dai YP, Chen LW, Chen W.:Analysis of long-term survival in patients with localized renal cell carcinoma: laparoscopic versus open radical nephrectomy.World J Urol. 2010 Jun;28(3):289-93. doi: 10.1007/s00345-009-0487-9. Epub 2009 Nov 15.

  12. YH Lin , HJ Chung , AT Lin , YH Chang , WJ Huang , YS Hsu , SC Chang , Chen KK .:Complications of pure transperitoneal laparoscopic surgery in urology: the Taipei Veterans General Hospital experience.J Chin Med Assoc. 2007 Nov;70(11):481-5.

  13. Kim BS ,Yoo ES , Kwon TG .:Complications of transperitoneal laparoscopic nephrectomy: a single-center experience.Urology. 2009 Jun;73(6):1283-7. doi: 10.1016/j.urology.2009.01.017. Epub 2009 Apr 10

  14. Castillo C Octavio, Sanches-Salas Rafael, Vidal M Ivar, Albino D Germán, Díaz C Manuel, Vitagliano Gonzalo et al . Nefrectomía radical laparoscópica: Nuestra experiencia en 150 pacientes consecutivos. RevChilCir [revista en la Internet]. 2008 Ago [citado 2013 Ene 21] ; 60(4): 297-302. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262008000400006&lng=es. doi: 10.4067/S0718-40262008000400006.

  15. Vallancien G, Cathelineau X, Baumert H, Doublet JD, Guillonneau B. : Complications of transperitoneal laparoscopic surgery in urology: review of 1311 procedures at a single center. J Urol. 2002; 168(1):23-26.

  16. Soulie M, Seguin P, Richeux L, Mouly P, Vazzoler N, Pontonnier F, et al. Urological complications of laparoscopic surgery: experience with 350 procedures at a single center. J Urol. 2001;165(6 Pt 1):1960-1963.

  17. Simon SD, Castle EP, Ferrigni RG, Lamm DL, Swanson SK, Novicki DE, et al. Complications of laparoscopic nephrectomy: The Mayo Clinic experience. J Urol. 2004;171(4):1447-1450.

  18. O'Malley RL, Godoy G, Kanofsky JA, Taneja SS.: The necessity of adrenalectomy at the time of radical nephrectomy: a systematic review.J Urol. 2009 May;181(5):2009-17. doi: 10.1016/j.juro.2009.01.018. Epub 2009 Mar 14.

  19. Yap SA, Alibhai SM, Abouassaly R, Timilshina N, Margel D, Finelli A.: Ipsilateral adrenalectomy at the time of radical nephrectomy impacts overall survival.BJU Int. 2012 Oct 8.

  20. de Sio M, Autorino R, Di Lorenzo G, Damiano R, Cosentino L, De Placido S, et al. Adrenalectomy: Defining its role in the surgical treatment of renal cell carcinoma. UrolInt. 2003;71(4)

  21. Kutikov A , Piotrowski ZJ , Canter DJ , Li T , Chen DY , Viterbo R , RE Greenberg , Boorjian SA , RG Uzzo.:Routine adrenalectomy is unnecessary during surgery for large and/or upper pole renal tumors when the adrenal gland is radiographically normal.J Urol. 2011 Apr;185(4):1198-203. doi: 10.1016/j.juro.2010.11.090. Epub 2011 Feb 22.

  22. Sagalowsky AI, Kadesky KT, Ewalt DM, Kennedy TJ.:Factors influencing adrenal metastasis in renal cell carcinoma. J Urol. 1994 May;151(5):1181-4.

  23. Su JR, Zhu DJ, Liang W, Xie WL. Investigation on the indication of ipsilateral adrenalectomy in radical nephrectomy: a meta-analysis.Chin Med J (Engl). 2012 Nov;125(21):3885-90.

  24. Blom JHM, vanPoppel H, Marechal JM, Jacqmin D, Sylvester R,Schröeder FH, et al. Radical nephrectomy with and whitout lymph node disecction: preliminary results of the EORTC randomized phase III protocol 30881. Eur Urol. 1999;36(6):570-575.

  25. Minervini A, Lilas L, Morelli C, Traversi S, Battaglia R, Cristofani R, Minervini R. Regional lymph node disection in the treatment of renal cell carcinoma: is it useful in patiens with no suspected adenopathy before or during surgery?.BJU International 2001; 88: 172.

  26. Blute ML, Leibovich BC, Cheville JC, Lohse CM, Zincke H. A protocol for performing extended lymph node disssection using primary tumor pathological features for patiens treated with radical nepherctomy for clear cell renal cell carcinoma. J Urol. 2004;172 (2):465-469.

  27. Pantuck A, Zisman A, Dorey F, Chao DH, Han K, Said J, et al. Renal cell carcinoma with retroperitoneal lymph nodes: Role of lymph node dissection. J Urol. 2003; 169 (6) : 2076-2083.

  28. Pantuck A, Zisman A, Dorey F, Chao DH, Han K, Said J, et al. Renal cell carcinoma with retroperitoneal lymph nodes: Role of lymph node dissection. J Urol. 2003;169 (6):2076-2083.

  29. Vaselli JR, Yang JC, Linehan WM, White DE, Rosenberg SA, Walther MM. Lack of retroperitoneal lymphadenopathy predicts survival of patiens with metastatic cell carcinoma. J Urol. 2001; 166: 72.

  30. Lee SJ, Hwang EC, Hwang IS, Yu HS, Kim SO, Jung SI, Kang TW, Kwon DD, Shim HJ, Choi C.: Small (<4 cm), Unclassified Renal Cell Carcinoma Presenting with Initial Bone Metastasis: A Case of a Metastatic Lesion Missed at the Initial Diagnosis. Korean J Urol. 2012 Dec;53(12):883-6. doi: 10.4111/kju.2012.53.12.883. Epub 2012 Dec 20.

  31. Chkhotua A, Managadze L, PertiaA.Metastasis of renal cell carcinoma to contralateral adrenal gland: case report and review of the literature.GeorgianMed News. 2012 Nov;(212):12-8.




2020     |     www.medigraphic.com