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LAPAROSCOPIC PARTIAL NEPHRECTOMY FOR CYSTIC MASSES

2005; Lippincott Williams & Wilkins; Volume: 174; Issue: 2 Linguagem: Inglês

10.1097/01.ju.0000165162.21997.11

1527-3792

Massimiliano Spaliviero, Brian R. Herts, Cristina Magi‐Galluzzi, Meng Xu, Mihir Desai, Jihad Kaouk, Kay Tucker, ANDREW P. STEINBERG, Inderbir S. Gill,

Genetic and Kidney Cyst Diseases

No AccessJournal of UrologyAdult Urology: Physiology/Medical Disease1 Aug 2005LAPAROSCOPIC PARTIAL NEPHRECTOMY FOR CYSTIC MASSES MASSIMILIANO SPALIVIERO, BRIAN R. HERTS, CRISTINA MAGI-GALLUZZI, MENG XU, MIHIR M. DESAI, JIHAD H. KAOUK, KAY TUCKER, ANDREW P. STEINBERG, and INDERBIR S. GILL MASSIMILIANO SPALIVIEROMASSIMILIANO SPALIVIERO , BRIAN R. HERTSBRIAN R. HERTS , CRISTINA MAGI-GALLUZZICRISTINA MAGI-GALLUZZI , MENG XUMENG XU , MIHIR M. DESAIMIHIR M. DESAI , JIHAD H. KAOUKJIHAD H. KAOUK , KAY TUCKERKAY TUCKER , ANDREW P. STEINBERGANDREW P. STEINBERG , and INDERBIR S. GILLINDERBIR S. GILL View All Author Informationhttps://doi.org/10.1097/01.ju.0000165162.21997.11AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Although laparoscopic partial nephrectomy (LPN) has emerged as an effective treatment option in select patients with a solid renal tumor, scant data are available on cystic renal tumors. We report our experience with LPN in 50 patients with a cystic renal lesion. Materials and Methods: Of 284 patients undergoing LPN at our institution since August 1999 preoperative computerized tomography identified a suspicious cystic lesion in 50 (17.6%) (group 1). Data were retrospectively compared with those on 50 matched, consecutive patients undergoing LPN for a solid renal mass (group 2). All patients with Bosniak II/IIF cysts were advised to undergo watchful waiting. Surgery was offered if the cyst changed in character or if that was the patient preference. Results: Median tumor size was 3 cm in group 1 and 2.6 cm in group 2 (p = 0.07). Groups 1 and 2 were comparable in regard to perioperative parameters. In patients with Bosniak II (9), IIF (4), III (12) and IV (21) cysts final histopathology revealed renal cell carcinoma in 22%, 25%, 50% and 90%, respectively. All 100 patients had a negative surgical margin. No patient in group 1 had intraoperative puncture/spillage of the cystic tumor. In group 1 during a mean followup of 14 months (range 1 month to 3 years) 1 patient had retroperitoneal recurrence at 1 year despite negative surgical margins during initial LPN. Conclusions: Surgical outcomes of LPN for suspicious cystic masses are similar to those of LPN for solid tumors. However, extreme caution and refined laparoscopic technique must be exercised to avoid cyst rupture and local spillage. References 1 : Evaluation and management of solid and cystic renal masses. J Urol1998; 159: 1120. 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Google Scholar Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute (MS, MMD, DHK, KT, APS, ISG) and Departments of Radiology (BRH), Pathology (CM-G) and Biostatistics and Epidemiology (MX), Cleveland Clinic Foundation, Cleveland, Ohio© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byPradere B, Peyronnet B, Delporte G, Manach Q, Khene Z, Moulin M, Roumiguié M, Rizk J, Brichart N, Beauval J, Cormier L, Bex A, Rouprêt M, Bruyère F and Bensalah K (2018) Intraoperative Cyst Rupture during Partial Nephrectomy for Cystic Renal Masses—Does it Increase the Risk of Recurrence?Journal of Urology, VOL. 200, NO. 6, (1200-1206), Online publication date: 1-Dec-2018.Schoots I, Zaccai K, Hunink M and Verhagen P (2017) Bosniak Classification for Complex Renal Cysts Reevaluated: A Systematic ReviewJournal of Urology, VOL. 198, NO. 1, (12-21), Online publication date: 1-Jul-2017. Volume 174Issue 2August 2005Page: 614-619 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordscystslaparoscopynephronskidneycarcinoma, renal cellMetricsAuthor Information MASSIMILIANO SPALIVIERO More articles by this author BRIAN R. HERTS More articles by this author CRISTINA MAGI-GALLUZZI More articles by this author MENG XU More articles by this author MIHIR M. DESAI More articles by this author JIHAD H. KAOUK More articles by this author KAY TUCKER More articles by this author ANDREW P. STEINBERG More articles by this author INDERBIR S. GILL More articles by this author Expand All Advertisement PDF downloadLoading ...