The clinical efficacy and safety of lateral transperitoneal and retroperitoneal laparoscopic partial nephrectomy for early renal cell carcinoma
Liu Jiaxun
Xia Jianyu
Yu Jianpeng
Abstract：Objective:To analyze the clinical efficacy and safety of lateral transperitoneal and retroperitoneal laparoscopic partial nephrectomy(LPN).Methods:Ninety-six cases of T1 aN0M0renal tumors undergoing lateral transperitoneal and retroperitoneal LPN were selected in this study.The patients were divided into lateral transper-itoneal LPN group(n= 46)and retroperitoneal LPN group(n= 51).The operation time,blood loss volume, tumor weight,hospital stay,postoperative GFR,rate of conversion to open surgery,and complications were com-pared between the two groups.Results:There was no significant difference in tumor weight,postoperative GFR, and rate of conversion to open surgery between the two groups(P>0.05).The operation time,blood loss vol-ume,and hospital stay was(132.36 ± 25.74)min,(192.95 ± 42.61)mL,and(8.34 ± 1.52)days in lateral transperitoneal LPN group,which were significantly reduced as compared with those of(161.52 ± 31.73)min, (232.16 ± 48.27)mL,and(9.87 ± 1.87)days in retroperitoneal LPN group(allP<0.05).The incidence of intr-aoperative and postoperative complications was 2.2% and 4.3% in lateral transperitoneal LPN group,which was significantly lower than that of 7.8% and 9.8% in retroperitoneal LPN group(P<0.05).Conclusions:Lateral transperitoneal LPN was beneficial to postoperative recovery in treatment of early renal cell carcinoma patients, with less complications.It can be used as a new way to improve LPN approach.
Keywords：lateral transperitoneal approachretroperitoneal approachlaparoscopic partial nephrectomyre-nal cell carcinoma
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 11-13 )