Zero ischemia laparoscopic nephron sparing surgery for hilar renal tumor larger than 4 cm: technique and feasibility
Abstract
The video shows the laparoscopic procedure used to remove a solid renal mass, (58×46 mm. on the left kidney) occasionally detected at CT scan, during the follow up for melanoma.
The patient underwent laparoscopic nephron sparing surgery(L-NSS) with zero ischemia technique, as usual in our Institution.
The access was trans-peritoneal. The mass was on the anterior kidney margin, strictly close to the kidney vessels. The outcome was favourable, without intra or post-operative complications and the patient was discarged in 3 days.
Histopathological diagnosis was angiosarcoma.
Zero ischemia laparoscopic nephron sparing surgery for renal tumor larger than 4 cm. positioned near the ilar vessels is technically feasible and safe. Very experienced laparoscopic surgeons are requested.