OBJECTIVE • To determine if the RENAL nephrometry score is associated with urine leak after partial nephrectomy for tumours ≤ 7 cm. PATIENTS AND METHODS • Thirty-one patients who developed urine leak after partial nephrectomy between 1998 and 2006 were identified. Each patient was individually matched (1 : 4 by age, gender and surgery date) to 124 patients who had undergone partial nephrectom...

PURPOSE The effects of partial nephrectomy (PN) on postoperative blood pressure (BP) are not known, and PN has the potential to worsen BP. We therefore sought to determine whether PN alters postoperative BP. MATERIALS AND METHODS Patients who underwent PN for suspected malignancy at our institution from 2002 to 2008 were included. Data on BP and medication from before and after PN were retrie...

The robotic surgery programme at the Bristol Urological Institute started in 2009. The bedside assistants for the initial patients changed frequently as the role was given to the urooncology trainee working with the team at that time. However, established robotic surgery programmes use permanent bedside assistants. This continuity across all cases translates into a more efficient workflow, and ...

We describe the pathological and clinical presentation of a rare case of renal paraganglioma occurring as an incidental left renal mass in a 58-year-old woman. The patient underwent robotic assisted laparoscopic partial nephrectomy, which is the first one in the literature.

Absorbable suture clips used during partial nephrectomy may be recognized as small hyperdensities near the excision site at 5 months after implantation. They may be completely resorbed and no longer visible at 11 months after implantation.

Cystic nephroma is a rare benign renal lesion with non-specific presenting symptoms. This tumour has a bimodal age distribution presenting in children between 3 months and 2 years and in adults over 30 years of age. There is male preponderance with a 2:1 male to female ratio in the childhood whereas it is commoner in females in adults. It is uncommon in the age-group of 5 years-30 years. We des...

Laparoscopic transperitoneal partial nephrectomy for clinical T1b renal tumors: A prospective evaluation Anup Kumar, Niraj Kumar, Gaurav Kumar, Mikir Patel, Pankaj Gupta Department of Urology & Renal Transplant, New Delhi, India

After renal parenchymal sparing surgery, with the use of surgical gelatin sponge, residual defects may persist on imaging studies at the sites of resection. These "pseudotumors" may lead to confusion as to whether a lesion was removed or has recurred. These lesions usually resolve within a year. We report a case of pseudotumor renal parenchymal sparing surgery in a 69 year old man, with resolut...

RESULTS: Multiple studies have demonstrated the feasibility and safety of robotic assisted laparoscopic nephrectomy and partial nephrectomy. Operative time is increased with the robotic system compared to pure laparoscopic surgery. Although complication rates are low, robotic renal surgery requires two skilled surgeons.

Laparoscopic renal surgery is associated with reduced blood loss, shorter hospital stay, enhanced cosmesis, and more rapid convalescence relative to open renal surgery. Laparoscopic partial nephrectomy (LPN) is a minimally invasive, nephron-sparing alternative to laparoscopic radical nephrectomy (RN) for the management of small renal masses. While offering similar oncological outcomes to laparo...