Laparoscopic radical nephrectomy is now considered a standard of care for patients with T1 renal carcinoma not suitable for nephron-sparing surgery. In the hands of experienced laparoscopic urological surgeons also T2 renal cell carcinoma can be approached through the laparoscopic technique. We present the video of a radical laparoscopic nephrectomy in a patient with a 12cm renal mass of the right kidney. We chose the transperitoneal approach; the operative time was 240 minutes. There were neither intra- nor post-operative complications. The patient was discharged at day 4 postoperatively.
BergerD A., KanofskyA.J.. Transperitoneal laparoscopic radical nephrectomy for large renal masses.Urology2008; 71: 421–24.
2.
HemalA K., KumarA., GuptaN.P.. Laparoscopic versus open radical nephrectomy for large renal tumors: a long-term prospective comparison.J Urol2007; 177: 862–66.
3.
DillemburgW., PoulakisV., SkriapasK., BechtE.. Retroperitoneoscopic versus open surgical radical nephrectomy for large renal cell carcinoma in clinical stage cT2 or cT3a: quality of life, pain and reconvalescence.Eur Urol2006; 49: 314–323.
4.
SteinbergA., FinelliA., NovickA., GillI.S.. Laparoscopic radical nephrectomy for large (greater than 7 cm, T2) renal tumors.J Urol2004; 172: 2172–76.
