This Medical Video: PURPOSE Laparoscopic partial nephrectomy (LPN) is an alternative
modality of treatment for small sized renal cell carcinoma. Robot
assisted laparoscopic partial nephrectomy (RLPN) has also been
performed with an advantage in repairing resected surface after
tumor resection. We compare the periopera...
tive data of
patients treated with laparoscopic partial nephrectomy with those of
RLPN undertaken patients. MATERIAL AND METHOD From September 2006
to April 2008, 22 patients were treated with LPN and 22 were RLPN. 3
arms were used for RLPN; camera was inserted through the 12mm,
umbilical trocar port. The laparoscopic Bulldog clamp was used for
the clamping of renal hilum. We retrospectively compared each group
about tumor size, operation time, estimated blood loss, warm
ischemic time and hospital stay. RESULT Operation time of LPN was
shorter than that of RLPN (p0.033). Tumor size, estimated blood loss
and hospital stay was not significant different in each group. No
case had conversion to open surgery. 1 patient of RLPN group,
however, had conversion to radical nephrectomy due to severe
bleeding. CONCLUSION RLPN was safe and feasible in small sized
renal cell carcinoma. Warm ischemic time was reasonable and
morbidity associated with RLPN was also low. RLPN LPN p-value Tumor
Size (cm) 2.5 2.1 0.605 Op time (min) 169.3 140.8 0.033 EBL (ml)
243.2 213.2 0.878 Warm Ischemic Time (min) 29.2 26.4 0.237
Transfusion (%) 4.5 4.5 0.756 Hospital stay (day) 4.4 5.5 0.053