Long-term outcome of laparoscopic radical nephrectomy for pathologic XXXX .

@entity1 @entity1358 @entity5 @entity703
OBJECTIVES: To evaluate the oncologic adequacy of laparoscopic radical nephrectomy in @entity1 with pathologic Stage @entity1358 , we analyzed the long-term results in those treated with laparoscopy and those undergoing open surgery. METHODS: The @entity703 of 263 @entity1 was confirmed to be Stage T1 by pathologic examination of the radical nephrectomy specimen between January 1992 and June 2002. Of the 263 @entity1 , 195 were treated laparoscopically and the remaining 68 by open surgery. The @entity1 follow-up lasted until July 31, 2002. RESULTS: The follow-up period of the laparoscopy group was 2 to 121 months (median 40). A total of 183 @entity1 survived, 5 died of @entity703 , 7 died without any recurrent disease, and 7 were lost to follow-up. Seeding of the port sites did not develop in any of the @entity1 . Ten @entity1 had metastatic or recurrent disease within 3 to 110 months, and 5 of these @entity1 died of @entity5 within 12 to 86 months. The 5-year disease-free and @entity1 survival rate was 91%, and 94%, respectively. The 68 @entity1 who underwent open surgery were followed up for 11 to 126 months (median 65). Of the 68 @entity1 , 56 survived without any recurrent disease, 4 survived with metastasis, 6 died of metastatic disease within 8 to 49 months, and 6 were lost to follow-up. The 5-year disease-free and @entity1 survival rate was 87% and 94%, respectively. CONCLUSIONS: Laparoscopic radical nephrectomy is an alternative technique with comparable oncologic results to open nephrectomy in @entity1 with localized pathologic Stage @entity1358 .
