Retroperitoneal Laparoscopic Radical Nephrectomy for Renal Cell Carcinoma: Indications and Long-term Outcome of a Cohort Study in Vietnam

OBJECTIVE: Laparoscopic radical nephrectomy (LRN) has been suggested as the standard care for cancer patients in T1-2 stage. However, whether this advanced technique is most indicated suitable renal tumors higher than T3a and N1 unclear, especially different regions countries, such difference between European Asia. METHODS: From 2013 to 2021, data of pathologically diagnosed cell carcinoma (RCC) who received laparoscopic retroperitoneal was subjected present study. RESULTS: Overall, all registered Vietnamese were eligible The average operative time 86.8 ± 21.2 min percentage number stages 1, 2, 3 134 (70.2%), 30 (15.7%), 27 (14.1%), respectively. Patients 3rd stage had a significantly longer 1–2 (p = 0.0001). No Lymph-node dissection (LND) recorded 10 (5.2%), limited LND 163 (85.3%), regional 13 (6.8%), extended (eLND) 5 (2.6%). eLND showed only prolongation 0.000), however, did not increase intraoperative complications well prolonged duration analgesia hospital stay when compared with other 2 groups 0.82, 0.85, 0.91). Mean follow-up time: 42.3 24.7 months. 5-year recurrent free survival overall were: 98.3%, 100%, 87.8%, 98.9%, 91.3%, 0.0011, p 0.0082). CONCLUSION: Retroperitoneal LRN could be an important improving long-term oncological outcomes patients, T1-3N0-1M0 tumors. Radical safe technically feasible providing favorable T1-2-3aN1M0 RCC.