A generation of laparoscopic nephrectomy: stage specific surgical and oncological outcomes for laparoscopic nephrectomy in a single centre

Alexander Laird, Grant Stewart, Jim Zhong, W J Jensen Ang, Mark Cutress, Antony Cp Riddick, Alan McNeill, David Tolley

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Objective: To determine the stage specific operative, post-operative and oncologic outcomes, for patients undergoing a laparoscopic radical nephrectomy (LRN) for renal cell cancer (RCC) in a single centre, and assess changes over a generation of practice. Patients and Methods: From December 1992 to July 2011, data was collected prospectively for 854 consecutive simple and radical laparoscopic nephrectomies, 397 of which were LRNs for RCC. The first LRN was performed in December 1997. Stage specific surgical and oncologic outcomes were assessed across the study period. Patients were then grouped into three equal, consecutive cohorts. Case mix and surgical outcomes were compared to assess changes with departmental experience. Results: There were 206, 71, 118 and 2 patients across stages pT1, pT2, pT3 and pT4 respectively. Median operating time was significantly shorter for pT1 tumours (125, 150 and 150 min for pT1-3, p
Original languageEnglish
JournalJournal of endourology / Endourological Society
DOIs
Publication statusPublished - 1 May 2013

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