Indications and contraindications for the use of laparoscopic surgery for renal cell carcinoma

摘要: The laparoscopic approach for treating renal tumors has become standard practice in many medical centers, and while there are no absolute contraindications to performing surgery a number of factors should be considered when making treatment decisions. This review presents the indications use radical partial nephrectomy cell carcinoma. Surgery remains only with chance cure Laparoscopic (LRN) developed management suspected malignancy centers worldwide, oncologic efficacy equal that open nephrectomy. LRN considerable advantages over surgery, such as decreased postoperative morbidity, analgesic requirements, shorter hospital stay convalescence. Current include all patients localized stage T1–2 tumors. T3 may technically feasible individual situations, but cannot treatment. Open is reserved advanced tumors, according surgeon's judgment. Partial well established organ-confined ≤4 cm diameter. scope nephrectomy, however, expanding, now includes ≤7 cm. continuously evolving technique. Continuing developments allow experienced laparoscopist virtually who eligible elective evaluates current