In this study, we evaluated the results of laparoscopic nephrectomy cases performed in patients with locally advanced renal cell carcinoma.
Between July 2015 and December 2018, 14 patients underwent laparoscopic nephrectomy for locally advanced renal tumor. The duration of operation, blood loss, duration of hospital stay, perioperative complications and follow-up time were evaluated.
The mean age of the patients was 56.8 (33-78). The mean duration of operation was 132.1 (70-190) minutes and the duration of hospital stay was 3.2 (2-5) days. Renal vein thrombus in 3 patients and perirenal fat tissue invasion in 9 patients. In 2 patients, the tumor exceeded the gerota fascia. The mean follow-up period was 18.3 (2-41) months. Two patients had lung metastasis during follow-up. Two patients died in the 5th and 36th months following the operation.
Nephrectomy improves survival in patients with locally advanced renal tumors. Although the laparoscopic approach has difficulties in these patients, the laparoscopic nephrectomy is a minimally invasive treatment that can be safely performed by experienced surgeons