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World Journal of Surgical Oncology

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Open Access 01-12-2023 | Nephrectomy | Research

Clinical experience of bench surgery combined with autotransplantation after three-dimensional laparoscopic nephrectomy for the treatment of highly complex renal tumor

Authors: Yangkai Xu, Jiawen Huang, Xiaodong Fan, Zhichao Wang, Jiangyong Lou, Xiaoming Liu, Guobin Weng

Published in: World Journal of Surgical Oncology | Issue 1/2023

Abstract

Objective

To assess the feasibility and safety of three-dimensional (3D) laparoscopic nephrectomy in combination with bench surgery and autotransplantation for treating highly complex renal tumors.

Materials and methods

The clinical data of six patients with highly complex renal cell carcinoma were collected. All patients underwent 3D laparoscopic nephrectomy in combination with bench surgery and autotransplantation by the same surgeons, two of them had previously undergone laparoscopic partial nephrectomy for contralateral renal cancer.

Results

The total operative time was 366 ± 65 min, the warm ischemia time (WIT) was 1.3 ± 0.4 min, and the cold ischemia time was 121 ± 26 min. While one patient received a diluted autologous blood transfusion, the intraoperative blood loss was 217 ± 194 ml. No increase in the serum creatinine (SCr) level was observed at postoperative day 30 compared with the preoperative time, and none of the patients received dialysis either during the hospital stay or to date. Although one patient underwent nephrectomy due to tumor recurrence in the transplanted kidney, the others reported no tumor recurrence or distant metastases on imaging to date.

Conclusion

3D laparoscopic nephrectomy, when combined with bench surgery and autotransplantation, can become a feasible option for treating highly complex renal cell carcinoma cases when expecting to preserve renal function maximally.

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Title: Clinical experience of bench surgery combined with autotransplantation after three-dimensional laparoscopic nephrectomy for the treatment of highly complex renal tumor
Authors: Yangkai Xu
Jiawen Huang
Xiaodong Fan
Zhichao Wang
Jiangyong Lou
Xiaoming Liu
Guobin Weng
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Nephrectomy
Nephrectomy
Nephrectomy
Renal Cancer
Kidney Cancer
Kidney Cancer
Kidney Cancer
Published in: World Journal of Surgical Oncology / Issue 1/2023
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-023-03246-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical experience of bench surgery combined with autotransplantation after three-dimensional laparoscopic nephrectomy for the treatment of highly complex renal tumor

Abstract

Objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

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