PTU - Polskie Towarzystwo Urologiczne
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Value of laparoscopic enucleation in patients with small renal cell carcinoma (RCC)
Article published in Urologia Polska 2001/54/1.


Mieczysław Fryczkowski, Andrzej Potyka, Zbigniew Kaletka, Jacek Huk
Katedra i Klinika Urologii w Zabrzu ¦l±skiej Akadeini Nauk w Katowicach Kierownik Kliniki: prof, drhab. med. Mieczysław Fryczkowski


kidney, RCC, laparoscopy, tumor enucleation


Purpose. Thanks the technical progress in the last 10 years in radiological diagnosis of the urinary tract diseases, the numbers of accidental diagnosed small RCC (2-3 cm in diameter) systematically increased.
Objective. The aim of this paper is to show the technique and the early results of laparoscopic enucleation of small RCC.
Material and methods. In 4 men (average 56 years) we have enucleated la-paroscopically RCC (1.5-2.8 cm). We used the retroperitoneal approach to the kidney to the 3 troacars technique. Laboratory and radiology follow-up was be done average 8 months after surgery.
Results. The operative time was average 152 min. Hospitalization time 4.7 days and reconvalescency time 9 days after surgeiy. Paraoperativc loss of blood was 92 ml. Histopathological examination allowed to show ca clarocellulare GI-G2 (pTl, NO, MO) in all of them. Niether complications, local recurrences nor metastases did not detected.
Conclusion. Laparoscopic enucleation for small RCC may be a safe alternative procedure in comparison to the open tumorectomy.


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Mieczysław Fryczkowski
Katedra 1 Klinika Urologii ¦AM ul. 3 Maja 13/15. 41-800 Zabrze