Transperitoneal laparoscopic right radical nephrectomy for renal cell carcinoma and end-stage renal disease: a case report

Nephron-sparing surgery (partial nephrectomy) results are similar to those of radical nephrectomy for small (<4 cm) renal tumors. However, in patients with end-stage renal disease, radical nephrectomy emerges as a more efficient treatment for localized renal cell cancer. Laparoscopic radical neph...

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Published inCases journal Vol. 2; no. 1; p. 200
Main Authors Kosmıdis, Christoforos, Efthimiadis, Christoforos, Anthimidis, Georgios, Grigoriou, Marios, Vasiliadou, Kalliopi, Ioannidou, Georgia, Baka, Sofia, Fahantidis, Epaminondas
Format Journal Article
LanguageEnglish
Published England Cases Network Ltd 18.11.2009
BioMed Central Ltd
BioMed Central
Subjects
Carcinoma, Renal cell
Care and treatment
Case Report
Case studies
Chronic kidney failure
Health aspects
Laparoscopic surgery
Laparoscopy
Nephrectomy
Patient outcomes
Greece
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Summary:Nephron-sparing surgery (partial nephrectomy) results are similar to those of radical nephrectomy for small (<4 cm) renal tumors. However, in patients with end-stage renal disease, radical nephrectomy emerges as a more efficient treatment for localized renal cell cancer. Laparoscopic radical nephrectomy (LRN) increasingly is being performed. The objective of the present study was to present a case of a patient under hemodialysis who was submitted to LRN for a small renal mass and discuss the current issues concerning this approach. It appears that radical nephrectomy should be the standard treatment in dialysis patients even for small tumors. The laparoscopic technique is associated with acceptable cancer-specific survival and recurrence rate along with shorter hospital stay, less postoperative pain and earlier return to normal activities.
Bibliography:ObjectType-Article-1
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ISSN:1757-1626
1757-1626
DOI:10.1186/1757-1626-2-200