PURPOSE: We assessed the role of laparoscopic management in @entity1 following @entity548 from a @entity703 . MATERIALS AND METHODS: A retrospective chart review revealed 4 @entity1 with @entity548 treated at our institution in the last 2 years. After conservative management elsewhere @entity1 were referred for definitive therapy. @entity1 characteristics and @entity5 size were examined and correlated with ease of surgical dissection and surgical outcome. No @entity1 had any history of @entity130 . Computerized tomography was used to identify the initial extent of @entity548 in all @entity1 . RESULTS: All @entity1 underwent successful laparoscopic exploration without the need for open conversion. Three @entity1 underwent radical nephrectomy and 1 underwent laparoscopic partial nephrectomy. @entity548 extending outside of the renal capsule was associated with significantly more adhesions than @entity548 confined to the renal capsule. Mean @entity1 age was 56 years (range 36 to 70). Mean @entity5 size was 5.3 cm (range 2.5 to 10). Three renal @entity1410 were extracapsular and 1 was subcapsular. Mean operative time was 182.3 minutes (range 59 to 235). Average estimated @entity190 was 800 cc (range 150 to 2,100). CONCLUSIONS: @entity548 of renal origin may be managed using traditional laparoscopic techniques with results similar to those achieved with open renal exploration. These cases may prove technically challenging due to @entity82 and associated tissue plane loss.

Laparoscopic renal surgery after XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['Renal hemorrhage', 'hemorrhage', 'Nontraumatic retroperitoneal hemorrhage', 'renal hemorrhage', 'spontaneous retroperitoneal hemorrhage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'retroperitoneal tumor'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity703 :: ('MESH:D007680', 'Disease') :: ['renal tumor']
@entity548 :: (MESH:D006470,Disease) :: ['spontaneous retroperitoneal hemorrhage']
