OBJECTIVES: To evaluate the efficacy of laparoscopic radical nephrectomy for @entity1 with @entity1358 by comparing the clinical results of @entity1 treated laparoscopically with those of @entity1 treated with traditional open radical nephrectomy. METHODS: Of 100 @entity1 with localized, small (less than 5 cm in diameter) @entity1358 treated by the same surgical team between 1992 and 1998, 60 @entity1 underwent laparoscopic radical nephrectomy and 40 underwent open radical nephrectomy. Of the 60 laparoscopically treated @entity1 , the first 11 and the most recent 34 @entity1 were operated on transperitoneally and the other 15 retroperitoneally. RESULTS: The mean operative time of the laparoscopically treated @entity1 was longer than that of the open nephrectomy @entity1 (5.2 versus 3.3 hours, P<0.001). The mean @entity190 of the laparoscopically treated @entity1 was less than that of the open nephrectomy @entity1 (255 versus 512 mL, P<0.001). One laparoscopically treated @entity1 needed conversion to open surgery. The time to full convalescence of the laparoscopically treated @entity1 was shorter than that of the open nephrectomy @entity1 (23 versus 57 days, P<0.001). Two of the 59 laparoscopically treated @entity1 and 1 of the 40 open nephrectomy @entity1 had @entity3 . The former 2 are alive with stable disease and the latter died of progressive disease 11 months after surgery. The 5-year disease-free rate was 95.5% in laparoscopy @entity1 and 97.5% in open nephrectomy @entity1 (P = NS). CONCLUSIONS: Laparoscopic radical nephrectomy is a less invasive alternative to open surgery for @entity1 with localized @entity1358 .

Laparoscopic radical nephrectomy for XXXX : a five-year experience.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['renal cell carcinoma', 'small renal cell carcinoma'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastatic disease']
@entity1358 :: (MESH:D002292,Disease) :: ['renal cell carcinoma']
