Laparoscopic transmesenteric partial nephrectomy - first results
Background. It was suggested a way of laparoscopic left partial nephrectomy performed through a ‘window’ in the mesentery of the colon. Methods. It was conducted an analysis of treatment results of 40 patients with renal tumors (TjN0M0), after laparoscopic left partial nephrectomy, 19 of them was operated transmesentricaly. Results. Conversions, post-surgical complications, and deaths were not registered. In one case during the traditional laparoscopic surgery the splenic capsule was damaged and caused bleeding, the complication was corrected conservatively. The duration of renal ischemia, duration of surgery and time of hospital stay between the two groups had no statistically significant difference. Conclusions. Transmesentric partial nephrectomy access has a number of advantages and can be considered as an alternative to standard laparoscopic nephrectomy.