Long-term outcome of hand-assisted laparoscopic radical nephrectomy for localized stage T1/T2 renal-cell carcinoma

Masahiko Harano, Masatoshi Eto, Kazuya Omoto, Katsunori Tatsugami, Hiroyuki Nomura, Hirofumi Koga, Morifumi Hojyo, Akito Yamaguchi, Seiji Naito

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19 Citations (Scopus)

Abstract

Purpose: To evaluate the efficacy of hand-assisted laparoscopic radical nephrectomy (HALRN) in patients with localized stage T1/T2 renal-cell carcinoma, we analyzed the clinical results of our patients treated in this way. Patients and Methods: From March 1999 to March 2003, a total of 96 patients aged 28 to 86 years (mean 61 years) with clinical stage T 1/T2 N0M0, pathologically confirmed renal-cell carcinoma underwent HALRN. The outcomes were compared with those of open radical nephrectomy, which was performed in 86 patients from November 1991 to February 1999 in our institution. Kaplan-Meier analysis was used to analyze survival. Results: Ten patients (10.4%) had perioperative complications. During a mean follow-up of 25 months (range 6-54 months), no patients died of the cancer, although three patients had metastatic disease. The 4-year disease-free and overall survival rates were 88% and 100%, respectively. Seventy-eight patients who underwent open radical nephrectomy were followed for 38 to 156 months (median 86 months). Seventy-three survived without any recurrent disease, five survived with metastasis, and no patient died of metastatic disease. The 4-year disease-free and overall survival rates were 93% and 100%, respectively. Conclusions: Hand-assisted laparoscopic surgical management of T 1/T2 renal-cell carcinoma is feasible and safe. At our institution, HALRN confers long-term oncologic effectiveness equivalent to that of open radical nephrectomy.

Original languageEnglish
Pages (from-to)803-807
Number of pages5
JournalJournal of Endourology
Volume19
Issue number7
DOIs
Publication statusPublished - Sep 1 2005

All Science Journal Classification (ASJC) codes

  • Urology

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    Harano, M., Eto, M., Omoto, K., Tatsugami, K., Nomura, H., Koga, H., Hojyo, M., Yamaguchi, A., & Naito, S. (2005). Long-term outcome of hand-assisted laparoscopic radical nephrectomy for localized stage T1/T2 renal-cell carcinoma. Journal of Endourology, 19(7), 803-807. https://doi.org/10.1089/end.2005.19.803