Limits of laparoscopic surgery in the treatment of renal tumors

作者：Rosales Bordes Antonio; Salvador Bayarri Jose; Rodriguez Oscar; Pena Jose A; Ma Gaya Jose; Parada Moreno Ruben; Esquena Fernandez Salvador; Dominguez Alberto; Palou Redorta Joan; Villavicencio Mavrich Humberto

来源：Actas Urologicas Espanolas, 2009, 33(5): 550-561.

• Renal cancer
• Laparoscopic nephrectomy

Laparoscopic radical nephrectomy is considered to be the technique of choice in the mangement of stage T1 and T2 renal cancer, though increased mastery of this alternative type of surgery has served to expand its indications. In any case, these procedures have a series of limitations which are tied to the intrinsic characteristics of laparoscopic surgery, and which are associated with the patient and tumor characteristics, and the experience of the surgeon. The present study discusses the different indications and establishes the current limits of laparoscopic surgery applied to the management of renal tumors. Its role in cell-reducing therapy in metastatic disease, and the methods available for reducing tumor implantation in the surgical ports are also commented.

• 出版日期2009-5