Laparoscopic partial nephrectomy for the management of large renal tumors: Experience at a tertiary care hospital

Truong TT, Le QH, Le HQ, Nguyen VT, Giang NP, Trang TM

Pdf Page Numbers :- 218-222

Thanh Tung Truong^1,*, Quang Hai Le¹, Huu Quan Le¹, Van Thanh Nguyen², Nguyen Phuong Giang³, and Tran Minh Trang³

¹Department of Urology and Andrology, Thanh Hoa General Hospital, Vietnam

²Department of General Surgery, Thanh Hoa City General Hospital, Vietnam 3College of Health and Sciences, Vin University, Hanoi, Vietnam

*Corresponding author: Thanh Tung Truong, Department of Urology and Andrology, Thanh Hoa General Hospital, Vietnam. Email: tungtnqy@gmail.com

Received 27 November 2024; Revised 24 February 2025; Accepted 7 March 2025; Published 18 March 2025

Citation: Truong TT, Le QH, Le HQ, Nguyen VT, Giang NP, Trang TM. Laparoscopic partial nephrectomy for the management of large renal tumors: Experience at a tertiary care hospital. J Med Sci Res. 2025; 13(2):218-222. DOI: http://dx.doi.org/10.17727/JMSR.2024/13-38

Copyright: © 2025 Truong TT et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Background: Laparoscopic partial nephrectomy is increasingly replacing open surgery as a standard, yet technically demanding, treatment for kidney tumors. The study aimed to evaluate some characteristics of large kidney tumors and results of retroperitoneal laparoscopic partial nephrectomy for large kidney tumors at a provincial general hospital.

Patients and methods: Twenty-five patients (14 men, 11 women) were diagnosed with pT1b stage renal tumor on computed tomography scan images and underwent retroperitoneal laparoscopic partial nephrectomy at Thanh Hoa General Hospital between January 2017 and May 2023.

Results: The patients’ mean age was 56.4 years. The average tumor size was 5.2 cm, with low, medium, and high R.E.N.A.L. scores of 20%, 52%, and 28%, respectively. The average operative and warm ischemia times were 87.9 and 25.6 minutes, respectively. The average blood loss was 86.8 ml. Hemorrhagic complications occurred in one patient, who eventually underwent laparoscopic radical nephrectomy. Regarding postoperative complications, one case had retroperitoneal fluid, and one case had bleeding and hematoma around the kidney. Examination after 3–6 months and at 3 years showed no local complications, metastases, or recurrences.

Conclusion: Retroperitoneal laparoscopic partial nephrectomy in the treatment of large kidney tumors (pT1b) can be performed at provincial hospitals, with safe and effective results.

Keywords: partial nephrectomy; renal tumor; laparoscopic surgery