%0 Journal Article
%T Retroperitoneoscopic radical nephrectomy with a small incision for renal cell carcinoma: Comparison with the conventional method
%A Hiroki Ito
%A Kazuhide Makiyama
%A Takashi Kawahara
%A Futoshi Sano
%A Takayuki Murakami
%A Narihiko Hayashi
%A Yasuhide Miyoshi
%A Noboru Nakaigawa
%A Masahiro Yao
%A Yoshinobu Kubota
%J Journal of Negative Results in BioMedicine
%D 2011
%I BioMed Central
%R 10.1186/1477-5751-10-11
%X Among the cases of T1N0M0 suspicious renal cell carcinoma treated at Yokohama City University between May 2003 and June 2009, the A method was performed in 51 cases and the B method was performed in 33 cases. The factors in the outcomes compared between the A and B methods were the duration of procedure, volume of bleeding, volume of transfusion, weight of the specimen, incidence of peritoneal injury, rate of conversion to open surgery, and perioperative complications.The duration of the procedure was 214.4 ¡À 46.9 minutes in the A method group and 208.1 ¡À 36.4 minutes in the B method group (p = 0.518). The volume of bleeding and the weight of the specimen were 105.5 ¡À 283.2 ml and 335.1 ¡À 137.4 g in the A method group and 44.8 ¡À 116 ml (p = 0.247) and 309.2 ¡À 126 g (p = 0.385) in the B method group. There was no significant difference in all factors analyzed.The A method would be highly possible to produce stable results, even during the introduction period when the staff and the institution are still unfamiliar with the retroperitoneoscopic surgery.The technical progress in laparoscopic surgery for renal cell carcinoma has been remarkable. Many institutions have introduced laparoscopic radical nephrectomy for renal cell carcinoma and even retroperitoneoscopic radical nephrectomy for renal cell carcinoma [1]. In recent years, these surgical methods are in widespread use, and the number of reports [2,3] about complications associated with surgery is rising. It has become important to identify how such a surgery can be completed in a safe manner during the introduction period when institutions and staff are still unfamiliar with these surgical methods.When retroperitoneoscopic radical nephrectomy for renal cell carcinoma was introduced into our institution, we performed a combined small skin incision method in our hospital. That's because we thought that the combined small skin incision method was safer than the conventional method that all procedures were performed w
%K the retroperitoneoscopic radical nephrectomy method with a small incision
%K surgical outcome
%U http://www.jnrbm.com/content/10/1/11