PURPOSE: Laparoscopic partial nephrectomy is a challenging procedure due to the risk of excessive bleeding. We evaluated the usefulness of a microwave tissue coagulator during laparoscopic partial nephrectomy for small renal tumor. MATERIALS AND METHODS: From January to July 2000, 6 patients with small renal tumors, from 11 to 25 mm. in diameter, underwent laparoscopic partial nephrectomy with a microwave tissue coagulator without renal pedicle clamping. There were 4 patients who underwent the transperitoneal and 2 who underwent the retroperitoneal approaches. RESULTS: Mean operating time was 186 minutes (range 131 to 239), and blood loss was minimal. Complications were mild and tolerable, and there was no significant deterioration of renal function. CONCLUSIONS: Laparoscopic partial nephrectomy with a microwave tissue coagulator is a useful and less invasive method for treatment of select small renal tumors. Long-term followup of patients is warranted to determine the potential for cancer control with this method.
PURPOSE: Laparoscopic partial nephrectomy is a challenging procedure due to the risk of excessive bleeding. We evaluated the usefulness of a microwave tissue coagulator during laparoscopic partial nephrectomy for small renal tumor. MATERIALS AND METHODS: From January to July 2000, 6 patients with small renal tumors, from 11 to 25 mm. in diameter, underwent laparoscopic partial nephrectomy with a microwave tissue coagulator without renal pedicle clamping. There were 4 patients who underwent the transperitoneal and 2 who underwent the retroperitoneal approaches. RESULTS: Mean operating time was 186 minutes (range 131 to 239), and blood loss was minimal. Complications were mild and tolerable, and there was no significant deterioration of renal function. CONCLUSIONS: Laparoscopic partial nephrectomy with a microwave tissue coagulator is a useful and less invasive method for treatment of select small renal tumors. Long-term followup of patients is warranted to determine the potential for cancer control with this method.
Authors: Chiara Floridi; Irene De Bernardi; Federico Fontana; Alessandra Muollo; Anna Maria Ierardi; Andrea Agostini; Paolo Fonio; Ettore Squillaci; Luca Brunese; Carlo Fugazzola; Gianpaolo Carrafiello Journal: Radiol Med Date: 2014-07-08 Impact factor: 3.469
Authors: Yair Lotan; Matthew T Gettman; Guy Lindberg; Cheryl A Napper; John Hoopman; Margaret S Pearle; Jeffrey A Cadeddu Journal: JSLS Date: 2004 Jan-Mar Impact factor: 2.172
Authors: Francois-Joseph L Murat; Carter Q Le; Mark H Ereth; Mark P Piedra; Yue Dong; Matthew T Gettman Journal: JSLS Date: 2006 Jul-Sep Impact factor: 2.172