Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing
Partial nephrectomy (PN) offers equivalent oncologic outcomes to radical nephrectomy (RN) but has greater preservation of renal function and less risk of chronic kidney disease and cardiovascular disease. Laparoscopic PN remains underutilized likely because it is a technically challenging operation...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2012/148952 |
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| _version_ | 1850174157068697600 |
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| author | Eugene J. Pietzak Thomas J. Guzzo |
| author_facet | Eugene J. Pietzak Thomas J. Guzzo |
| author_sort | Eugene J. Pietzak |
| collection | DOAJ |
| description | Partial nephrectomy (PN) offers equivalent oncologic outcomes to radical nephrectomy (RN) but has greater preservation of renal function and less risk of chronic kidney disease and cardiovascular disease. Laparoscopic PN remains underutilized likely because it is a technically challenging operation with higher rates of perioperative complications compared to open PN and laparoscopic RN. A review of the latest PN literature demonstrates that recent advancements in laparoscopic approaches, imaging modalities, ischemic mitigating strategies, renorrhaphy techniques, and hemostatic agents will likely allow greater utilization of LPN and expand its usage to increasingly more complex tumors. |
| format | Article |
| id | doaj-art-d2ae0d638ba04c788088bb4fd0d28b06 |
| institution | OA Journals |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-d2ae0d638ba04c788088bb4fd0d28b062025-08-20T02:19:43ZengWileyAdvances in Urology1687-63691687-63772012-01-01201210.1155/2012/148952148952Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-SparingEugene J. Pietzak0Thomas J. Guzzo1Division of Urology, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USADivision of Urology, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USAPartial nephrectomy (PN) offers equivalent oncologic outcomes to radical nephrectomy (RN) but has greater preservation of renal function and less risk of chronic kidney disease and cardiovascular disease. Laparoscopic PN remains underutilized likely because it is a technically challenging operation with higher rates of perioperative complications compared to open PN and laparoscopic RN. A review of the latest PN literature demonstrates that recent advancements in laparoscopic approaches, imaging modalities, ischemic mitigating strategies, renorrhaphy techniques, and hemostatic agents will likely allow greater utilization of LPN and expand its usage to increasingly more complex tumors.http://dx.doi.org/10.1155/2012/148952 |
| spellingShingle | Eugene J. Pietzak Thomas J. Guzzo Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing Advances in Urology |
| title | Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing |
| title_full | Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing |
| title_fullStr | Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing |
| title_full_unstemmed | Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing |
| title_short | Advancements in Laparoscopic Partial Nephrectomy: Expanding the Feasibility of Nephron-Sparing |
| title_sort | advancements in laparoscopic partial nephrectomy expanding the feasibility of nephron sparing |
| url | http://dx.doi.org/10.1155/2012/148952 |
| work_keys_str_mv | AT eugenejpietzak advancementsinlaparoscopicpartialnephrectomyexpandingthefeasibilityofnephronsparing AT thomasjguzzo advancementsinlaparoscopicpartialnephrectomyexpandingthefeasibilityofnephronsparing |