The closure of the renal defect is the most challenging part of laparoscopic partial nephrectomy when suturing is required. The author presents a method of creating and using suturing material for laparoscopic partial nephrectomy that has been developed over several hundred cases at the author's institution. These techniques can be used to simplify the task of suturing during laparoscopic parti...

There are a range of treatment strategies for the management of patients with small incidental renal cortical tumours including active surveillance, radiofrequency ablation, cryotherapy, radical nephrectomy and partial nephrectomy. A large number of such tumours are benign and might therefore be over-treated with radical nephrectomy. There are emergent short-term oncological and clinical outcom...

PURPOSE To investigate the effect of intraoperative ultrasonographic (US) findings on the decision for the type of nephrectomy to be performed in patients who had renal tumors that were preoperatively evaluated by using magnetic resonance (MR) imaging, with pathologic results as the reference standard. MATERIALS AND METHODS The institutional review board approved the study protocol, and infor...

In the last ten years, number of organ preservation surgeries for kidney cancer significantly increased. Per literature data, incidence recurrences after partial nephrectomy is between 2.9 and 11 %, mostly they are located in operated or contralateral kidney. Positive surgical margin, high stage histological subtype tumor, as well hereditary diseases, can serve predictors recurrences. renal rec...

INTRODUCTION Laparoscopic nephrectomy in children has become a reasonable alternative to open nephrectomy and has replaced open surgery for many kidney diseases. The aim of our study is to evaluate transperitoneal videolaparoscopic procedures in benign renal disease compared with the open surgical approach. PATIENTS AND METHODS 34 children aged between 17 days and 15 years (mean, 6.14 years) ...

OBJECTIVE Increasingly nephro-sparing partial nephrectomy has became widely accepted as a preferred treatment option for the select patient when the adenocarcinoma involves a solitary kidney or poorly functioning contralateral kidney, and in patients with synchronous bilateral tumors. While open partial nephrectomy is currently the standard nephron sparing procedure for treatment of renal tumor...

OBJECTIVE To present the perioperative outcomes from the British Association of Urological Surgeons (BAUS) nephrectomy dataset for 2012, the first year of public reporting of individual surgeon outcomes in the UK. PATIENTS AND METHODS All nephrectomies performed in the year 2012 and recorded in the database were analysed. These were divided into simple nephrectomy (SN), partial nephrectomy (P...

We conducted a literature review of natural orifice transluminal endoscopic surgery (NOTES), focusing on urologic procedures with gastrointestinal tract access, to update on the development of this novel surgical approach. As part of the methods, a comprehensive electronic literature search for NOTES was conducted using PubMed and Cochrane Library from March 2002 to February 2016 for papers rep...

PURPOSE The proper indication for laparoendoscopic single-site surgery (LESS) in urology is still under debate, especially for malignant diseases. We compared the perioperative outcomes between LESS and conventional laparoscopy (CL) for upper urinary tract malignancies. MATERIALS AND METHODS We reviewed the records of 75 patients who underwent radical nephrectomy, nephroureterectomy with blad...

Clayman et al described the first successful laparoscopic nephrectomy in 1991 [1]. Since that time, laparoscopic radical nephrectomy has become the standard of care for renal tumors. At the same time, the widespread use of contemporary imaging techniques has resulted in an increased detection of small incidental renal tumors. In efforts to avoid chronic kidney disease, the management of the sma...