Endoscopic resection for malignant disease carries the inherent risks
for intracorporeal dissemination. The association between tumour spill
age during surgery with local recurrence demands minimizing opportunit
ies for this to occur. The goal of tissue removal through a limited tr
ocar site using morcellation techniques may compromise complete remova
l of the specimen. Whole organ delivery of adrenal, renal and bladder
specimens through the trocar site or an extended incision minimizes th
e risk of tumour dissemination, and has not been associated with a sig
nificant increase in morbidity or pain in our experience. Placement of
the kidney into an organ entrapment sack immediately following resect
ion should theoretically reduce the chances of tumour cell shedding du
ring the removal of the specimen. Illustrative cases dependent on surg
ical approach and specimen size are presented.