J G Heckmann, F Knossalla, S Gollwitzer, C Lang, S Schwab
[OSCE in the neurology clerkship. Experiences at the neurological department of the university hospital Erlangen]
Fortschritte der Neurologie-Psychiatrie
kidney tumors important place among urological malignancies increased utilization imaging methods led rise renal cell carcinoma rcc diagnoses albeit declining mortality rates particularly developed countries radical nephrectomy remains gold standard treatment aim study share tertiary oncology hospitals initial experiences laparoscopic nephrectomy retrospective study analyzes data patients underwent laparoscopic nephrectomy focusing demographic characteristics tumor features operative outcomes information regarding age gender tumor size operative details pathology results collected analyzed one hundred fortytwo patients included study 69 4860 female 73 5140 male mean age patients 5711 126 years tumors primarily located left kidney 5280 mean tumor size 5301 2401 mm intraoperative complications included need conversion open surgery five cases vascular pneumothorax duodenal injuries subset patients however postoperative complications sepsis mortality observed despite initial learning curve associated longer operation times laparoscopic techniques offer benefits including reduced blood loss faster recovery improved cosmetic outcomes histologically clear cell rcc common tumor type encountered study underscores safety efficacy laparoscopic radical nephrectomy advocating widespread adoption emphasizing importance surgeon experience patient selection optimizing outcomes