OBJECTIVES: Local recurrence after a correct surgical technique and absence of distant metastasis is a rare occurrence after radical nephrectomy.
Surgical resection remains the standard management for this pathological setting. Nevertheless controversy persists over surgical approach and adjuvant treatments.
METHODS: We report on perioperative outcomes of a small multi-institutional series of patients with fully laparoscopic management of isolated renal fossa recurrence following open radical nephrectomy.
RESULTS: All patients underwent full laparoscopic surgery. Mean operative time was 140 minutes (range 75 to 240 minutes). Only one patient had a Clavien Grade IIIa complication. Mean hospital stay was 3 days (range 2 to 4 days). Out of the six patients, 5 had a mean follow-up of 20 months (range 9 to 32 months). Only one of these patients evolved with distant metastasis after surgery.
CONCLUSIONS: Laparoscopic resection of local recurrence after open radical nephrectomy is a challenging but reproducible technique. There is still no consensus or an operative protocol for this clinical setting. However, as long as surgery is kept within the possibilities, a laparoscopic approach should be sought.
Written by:
Vitagliano G, Ameri C, Castillo O, Rozanec J. Are you the author?
Departamento de Urologia, Hospital Aleman, Buenos Aires, Argentina; Clinica Indisa, Universidad Andres Bello, Santiago de Chile, Chile; Departamento de Urologia, Hospital Britanico, Buenos Aires, Argentina.
Reference: Arch Esp Urol. 2014 Apr;67(3):277-83.
PubMed Abstract
PMID: 24840593
UroToday.com Renal Cancer Section
