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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941
EISSN: 0972-9941
Vol. 7, No. 4, 2011, pp. 205-221
Bioline Code: ma11051
Full paper language: English
Document type: Review Article
Document available free of charge

Journal of Minimal Access Surgery, Vol. 7, No. 4, 2011, pp. 205-221

 en Laparoscopic partial nephrectomy: Technical considerations and an update
Dominguez-Escrig, Jose L.; Vasdev, Nikhil; O'Riordon, Anna & Soomro, Naeem

Abstract

The widespread use of radiological imaging (ultrasound, computed tomography and magnetic resonance imaging) has resulted in a steady increase in the incidental diagnosis of small renal masses. While open partial nephrectomy (OPN) remains the reference standard for the management of small renal masses, laparoscopic partial nephrectomy (LPN) continues to evolve. LPN is currently advocated to be at par with OPN oncologically. The steep learning curve and technical demand of LPN make it challenging to establish this as a new procedure. We present a detailed up-to-date review on the previous, current and planned technical considerations for the use of LPN, highlighting important surgical techniques, including single-port and robotic surgery, techniques on improving intra-operative haemostasis and the management of complications specific to LPN.

Keywords
Laparoscopic partial nephrectomy, renal cancer

 
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