J.A. Rivera-Ramírez, J.J. Cendejas-Gómez, B. Gabilondo-Pliego, F. Rodríguez-Covarrubias
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Abordaje laparoscópico para el tratamiento quirúrgico de los tumores renales y del tracto urinario superior
Introduction
Laparoscopy is currently one of the options for the surgical treatment of kidney tumors and upper urinary tract tumors with oncologic results that are similar to those of open surgery.
Aim
To describe the experience in the laparoscopic treatment of kidney and upper urinary tract tumors at our hospital.
Materials and methods
A retrospective and descriptive study was conducted, analyzing the database of patients with kidney or upper urinary tract tumors treated through the laparoscopic procedures of nephrectomy (radical or partial) or nephroureterectomy within the time frame of August 2006 and June 2015. Radiologic and histopathologic variables were analyzed, along with the frequency of complications (Clavien-Dindo classification).
Results
Ninety-six patients were identified that underwent the laparoscopic approach. Fifty-eight radical nephrectomies, 24 partial nephrectomies, and 14 nephroureterectomies were performed. The conversion rate was 16.6% and the mean hospital stay was 5 days. Grade IIIa and IVa complications presented in 9.3% of the cases. The mean follow-up period was 31.2 months and only one patient has died, due to leukemia.
Conclusions
We consider the laparoscopic approach to be a good treatment option for kidney tumors and upper urinary tract tumors.
期刊介绍：
Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
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