WHOLE-ORGAN RETRIEVAL IN LAPAROSCOPIC RESECTION OF UROLOGIC MALIGNANCIES

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.