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World Journal of Urology
Published in: World Journal of Urology 6/2008

01-12-2008 | Topic Paper

Complications of laparoscopic partial nephrectomy

Authors: Reinhold Zimmermann, Günter Janetschek

Published in: World Journal of Urology | Issue 6/2008

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Abstract

Objectives

To review the current evidence about laparoscopic partial nephrectomy (LPN) and its complications to define the role of this technique and to demonstrate specific operative modifications developed in a high volume laparoscopy centre.

Methods

The most recent literature was reviewed based on a PubMed search to evaluate the current types and rates of surgical complications following laparoscopic partial nephrectomy. Own data and experiences were added. Particular alert was dedicated to detailed operative knowledge to avoid typical pitfalls.

Results

LPN is still a challenging option for treatment of small renal cell cancer (RCC) and the technique is under development. The intermediate-term functional and oncological results of LPN can compete with the standard options at least in laparoscopy dedicated centres. The learning curve has to be considered because of its great impact on the reduction of the risk of complications. Advantages of LPN are less blood loss, shorter hospital stay and less blood loss. A careful case selection is required in reliance on the surgeons` experience.

Conclusion

LPN is an additional but still challenging option for selected cases of RCC, which should be managed by the hands of experienced surgeons. Respecting these restrictions LPN has been shown to be equivalent to open partial nephrectomy. Distinctive attention has to be dedicated for improvement and standardization of operative techniques to decrease the learning curve of future users.
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Metadata
Title
Complications of laparoscopic partial nephrectomy
Authors
Reinhold Zimmermann
Günter Janetschek
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 6/2008
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-008-0334-4

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