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Case presentation: A 62-year-old man presented to our department with a one-week history of painless macroscopic hematuria. A preoperative abdominal CT-scan revealed a 6cm solid mass in the upper right kidney, originating from the renal cortex and extending into the renal pelvis. The patient was scheduled for a laparoscopic right radical nephrectomy.
Discussion: The laparoscopic approach for kidney surgery has been well described in the literature, both for total and partial nephrectomies. The indications for the laparoscopic approach in kidney surgery has expanded to include grossly advanced tumors even with renal vein thrombosis. Several key steps are crucial for a smooth intraoperative progression and for optimal postoperative outcomes.
Conclusions: The laparoscopic approach exhibits equivalent oncological outcomes, as well as a superior postoperative morbidity profile and should be the standard approach offered to all patients, especially with early carcinomas.
Bibliography:
1. Bollens, R., Rosenblatt, A., Espinoza, B. P., De Groote, A., Quackels, T., Roumeguere, T., Schulman, C. C. (2007, Sep). Laparoscopic partial nephrectomy with "on-demand" clamping reduces warm ischemia time. Eur Urol, 52(3), 804-809. doi:10.1016/j.eururo.2007.04.011
2. Dunn, M. D., Shalhav, A. L., McDougall, E. M., & Clayman, R. V. (2000, Sep). Laparoscopic nephrectomy and nephroureterectomy for renal and upper tract transitional cell cancer. Semin Laparosc Surg, 7(3), 200-10. Retrieved from https://pubmed.ncbi.nlm.nih.gov/11359244/
3. Garrett, J. E., & Rowland, R. G. (2005, Jul). Evolution of radical procedures for urologic cancer. Surg Oncol Clin N Am, 14(3), 553-68. doi:10.1016/j.soc.2005.05.004
4. Parsons, R. B., Canter, D., Kutikov, A., & Uzzo, R. G. (2012, Sep). RENAL nephrometry scoring system: the radiologist's perspective. AJR Am J Roentgenol, 199(3), W355-9. doi:10.2214/AJR.11.8355
Laparoscopic right radical nephrectomy for renal cell carcinoma: description of surgical technique
Ultrapreservation in robotic radical prostatectomy: anterior, antegrade approaches
Many referee reports suffer from being either too long or too short, too detailed or not detailed enough. Ville Sallinen, Editor-in-Chief of BJS Open describes how to construct the perfect referee report in this video.
How to write the report - How to write the peer-reviewer report? (part 3/4)
Bibliographic reference:
Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature. Gennaro Perrone World J Surg. 2020 Dec;44(12):4012-4031.
Laparoscopic repair of a post-traumatic diaphragmatic rupture
Laparoscopic repair of acute diaphragmatic rupture: a stepwise approach
Surgical treatment of a pulmonary hydatid cyst: video-assisted thoracoscopic surgery (VATS) cystotomy with capitonnage
IRCAD News
Renji University Hospital delegation visits IRCAD
Last week, we had the honor of welcoming a delegation from Renji University Hospital. They had the chance to delve into the IRCAD concept and explore our facilities. Thank you to: – Mr Yumin Pan, General Consul of China – Pr Qiang XIA, President of Renji Hospital – Pr Weiping LI, Former President of Renji […]World virtual university
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