Journal of Capital Medical University ›› 2013, Vol. 34 ›› Issue (3): 372-375.doi: 10.3969/j.issn.1006-7795.2013.03.010

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One period retroperitoneal laparoscopic surgery in treating patients with bilateral renal cell carcinoma

SONG Liming, XING Nianzeng, NIU Yinong, ZHANG Junhui, TIAN Xiquan, WANG Jianwen   

  1. Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2013-01-20 Online:2013-06-21 Published:2013-06-17

Abstract:

Objective To explore the feasibility of one-period retroperitoneal laparoscopic surgery for bilateral renal cell carcinoma. Methods Two patients of bilateral renal cell carcinoma received one-period retroperitoneal laparoscopic operation including unilateral retroperitoneal laparoscopic nephron-sparing surgery and contralateral retroperitoneal laparoscopic radical nephrectomy. Results Retroperitoneal laparoscopic surgery was performed successfully in two cases without conversion to open surgery. Operative time was 6 hours and 4.5 hours, respectively. Blocking time of renal artery branch was 25 minutes and 18 minutes, respectively. Blood loss was 600 mL and 100 mL respectively. Postoperative hospital stay was 33 days and 9 days, respectively. Renal function deteriorated slightly postoperatively, and one case with chronic renal failure preoperatively required hemodialysis regularly of one to two times per week. There were no tumor recurrence and metastasis in 4 to 33 months following up.Conclusion One period retroperitoneal laparoscopic surgery was safe, effective and feasible in treating patients with bilateral renal cell carcinoma which was minimally invasive, and had small blood loss, rapid recovery and a good short-term outcome.

Key words: retroperitoneal laparoscopic surgery, renal cell carcinoma, bilateral

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