Hand Assisted Laparoscopic Partial Nephrectomy for Treatment of T1b Renal Cell Carcinoma
ZHAO Guo-bin
LI Xiang-dong
LING Hai-bin
KONG Yan-ping
TANG Yu-hong
ZHANG Xiu-mei
SU Hong-wei
ZHANG Chao
Abstract：Objective To investigate operational methods and clinical effect of hand-assisted laparoscopic without"Lapdisc" partial nephrectomy for treatment of T1b renal cell carcinoma. Methods 15 patients with T1b renal cell carcinoma admitted during Feb 2011 and Feb 2013 were retrospectively analyzed, according to the diameter of the palm for skin incision, after the hand was put into abdominal cavity for auxiliary operations and towel forceps clamps were used to prevent leakage, and hand assisted laparoscopic partial nephrectomy without"Lapdisc" was performed. Results All the 15 cases were operated upon successfully without conversion to open surgery, and there were no severe complications in the perioperative period. The mean operation time was (120. 5 ± 25. 6)min, mean warm ischemia time was (25. 2 ± 7. 4)min, the average amount of bleeding during operation was (48. 3 ± 10. 2) ml, mean incision length was (6. 5 ± 0. 6) cm and mean postoperative hospital stay was (9. 2 ± 2. 4)d. Postoperative urinary leakage was found in one case and was successfully treated with placement of a double J tube. All the patients had normal renal function and had no tumor recurrence or metastasis during a mean follow-up of ( 16. 4 ± 11. 2)months. Conclusion Hand assisted laparoscopic partial nephrectomy without "Lapdisc" is safe and effective for treat-ment of patients with T1b renal cell carcinoma. But the long-term effect still needs more sample research and a long-term follow-up study.
Keywords：Hand-Assisted laparoscopyNephrectomyKidney neoplasm
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 91-93 )