Indian Journal of Urology Users online:519  
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Year : 2003  |  Volume : 20  |  Issue : 1  |  Page : 1-6

Laparoscopic radical nephrectomy: Is it ontologically safe?

Department of Urology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Ashok K Hemal
Vattikuti Urology Institute, K 9, Henry Ford Hospital, 2799, West Grand Boulevard, Detroit, 48202
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Source of Support: None, Conflict of Interest: None

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Objectives: Laparoscopic radical nephrectomy (LRN) is emerging as a viable alternative to open radical ne­phrectomy for treatment of patients with localized renal cell carcinoma (RCC). However, data regarding the onco­logic effectiveness of this minimally invasive treatment option is still scarce. We review the literature regarding the oncologic efficacy of this treatment, including our own experience. Methods: The current literature on LRN for treatment of patients with localized RCC, available on Medline, was reviewed. Results: Although the long-term results are not known current literature suggests that LRN is as effective as open radical nephrectomy for localized RCC. Conclusions: LRN is a safe and effective modality of treatment for patients with localized RCC. It does not pose any extra risk for port-site recurrence, local recurrence and distant metastasis over open radical nephrectomy. The survival outcomes are similar in both the techniques even at long term follow-up of 10 years.

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