Laparoscopic Nephrectomy, Ex Vivo Partial Nephrectomy, and Autotransplantation for the Treatment of Complex Renal Masses

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dc.contributor.authorNayak, Jasmir Gopal
dc.contributor.authorKoulack, Joshua
dc.contributor.authorMcGregor, Thomas Brian
dc.date.accessioned2015-05-14T16:07:44Z
dc.date.available2015-05-14T16:07:44Z
dc.date.issued2014-11-24
dc.date.updated2015-03-29T13:26:14Z
dc.description.abstractIn the contemporary era of minimally invasive surgery, very few T1/T2 renal lesions are not amenable to nephron-sparing surgery. However, centrally located lesions continue to pose a clinical dilemma. We sought to describe our local experience with three cases of laparoscopic nephrectomy, ex vivo partial nephrectomy, and autotransplantation. Laparoscopic donor nephrectomy was performed followed by immediate renal cooling and perfusion with isotonic solution. Back-table partial nephrectomy, renorrhaphy, and autotransplantation were then performed. Mean warm ischemia (WIT) and cold ischemic times (CIT) were 2 and 39 minutes, respectively. Average blood loss was 267 mL. All patients preserved their renal function postoperatively. Final pathology confirmed pT1, clear cell renal cell carcinoma with negative margins in all. All are disease free at up to 39 months follow-up with stable renal function. In conclusion, the described approach remains a viable option for the treatment of complex renal masses preserving oncological control and renal function.
dc.description.versionPeer Reviewed
dc.identifier.citationJasmir Gopal Nayak, Joshua Koulack, and Thomas Brian McGregor, “Laparoscopic Nephrectomy, Ex Vivo Partial Nephrectomy, and Autotransplantation for the Treatment of Complex Renal Masses,” Case Reports in Urology, vol. 2014, Article ID 354104, 4 pages, 2014. doi:10.1155/2014/354104
dc.identifier.urihttp://dx.doi.org/10.1155/2014/354104
dc.identifier.urihttp://hdl.handle.net/1993/30470
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2014 Jasmir Gopal Nayak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleLaparoscopic Nephrectomy, Ex Vivo Partial Nephrectomy, and Autotransplantation for the Treatment of Complex Renal Masses
dc.typeJournal Article
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