GASLESS LAPAROSCOPY-ASSISTED NEPHRECTOMY WITHOUT TISSUE MORCELLATION FOR RENAL-CARCINOMA

Purpose: The efficacy of gasless laparoscopy-assisted nephrectomy for renal tumors is determined. Materials and Methods: Seven patients with renal tumors underwent gasless laparoscopy-assisted nephrectomy. The results were compared to those of patients undergoing open nephrectomy . Results: Although a long operating time was required, convalescence was significantly more rapid. En bloc removal of the kidney and comple te pathological examination were possible in all patients. Conclusions : This procedure may be useful for the treatment of noninvasive renal carcinoma, especially in patients with cardiovascular and/or ventilato ry complications. However, long-term followup is necessary to confirm the efficacy in preventing recurrence.