; initial experience in Israel with 110 cases.
The operative safety and oncological outcomes of laparoscopic nephrectomy
for T3 renal cell cancer.
Another recently published study on laparoscopic nephrectomy
showed by means of the Leiden-Surgical-Rating-Scale that deep NMB overall improved surgical conditions during low-pressure capnoperitoneum (4.5 vs.
A better understanding of presentation and outcomes in these patients is necessary in the era of laparoscopic nephrectomy
and this study attempts to provide this in the context of a resource constrained environment.
performed the first laparoscopic nephrectomy
with open autotransplantation (kidney extraction was done through a periumbilical incision followed by a transplantation through a Gibson incision) .
maybe possible depending on the extension of the lesion and involvement of other structures .
 did a study on laparoscopic nephrectomy
for paediatric giant hydronephrosis, but the massive size of the kidney in this case ruled out this approach.
In adult patients with renal tumors, multi-institutional studies have proved the efficacy and safety of laparoscopic nephrectomy
; however, there remains a lack of prospective multicenter data regarding minimally invasive approaches in the pediatric literature [15-17].
With evolving technology open radical nephrectomy is rapidly being replaced with laparoscopic nephrectomy
in developed world and number of nephron sparing nephrectomies is also on the rise, given the smaller size of tumor at diagnosis7.
Further, open surgical nephrectomy can be replaced by laparoscopic nephrectomy
and easy removal of renal tumours.
Thereafter, many changes have occurred in the procedure of nephrectomy from anterior transperitoneal nephrectomy through a midline incision performed by Kocher in 1878 to Clayman1 who performed the first laparoscopic nephrectomy
at Washington University in 1990.
Furthermore, the higher dose is also effective for pain prophylaxis and the quality of recovery [4, 9-11], and these effects potentially accelerate the accomplishment of outpatient surgeries such as laparoscopic nephrectomy