LAPAROSCOPIC NEPHRECTOMY WITHOUT MORCELLATION FOR RENAL-CELL CARCINOMA - REPORT OF INITIAL 2 CASES

We recently developed a new laparoscopic procedure of nephrectomy for renal cell carcinoma and successfully removed the kidney in 2 patients . A carbon dioxide pneumoperitoneum is induced and 5 trocars are intro duced into the abdominal cavity through the lateral abdominal wall. Th e kidney is removed en bloc together with the adrenal gland, perirenal fat and Gerota's fascia. The kidney is placed into a sack, which is p ulled out through a 5 cm. incision in the abdominal wall without morce llation to allow for complete pathological examination. With this proc edure right nephrectomy was performed in a 44-year-old man with a 2.5 cm. tumor in the right kidney and left nephrectomy was done in a 52-ye ar-old man with a 2.5 cm. tumor in the left kidney. Operative time was 379 minutes and 464 minutes, respectively. There were no complication s in either case. This procedure may be indicated in patients with sma ll volume renal cell carcinoma.