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Nephron sparing surgery for small renal tumours: results from two centres.

No. 181. Nephron sparing surgery for small renal tumours: results from two centres. Jay Roberts 1 , Kieran Hart 2 , Hodo Haxhimolla 2 , Boon Kua 1 1 Redcliffe and Wesley hospital, Queensland 2 Canberra and National Capital Private Hospital, Canberra. Posters Proudly Supported by:.

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Nephron sparing surgery for small renal tumours: results from two centres.

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  1. No. 181 Nephron sparing surgery for small renal tumours: results from two centres. Jay Roberts1, Kieran Hart2, Hodo Haxhimolla2, Boon Kua1 1 Redcliffe and Wesley hospital, Queensland 2 Canberra and National Capital Private Hospital, Canberra Posters Proudly Supported by: Introduction Nephron sparing surgery (NSS) is now the standard of care for small renal tumours1. Laparoscopic NSS (LNSS) is performed in large institutions with excellent oncological and functional outcomes2. • Results • Comparison is made with results from recent published Australian data and that of a large centre in the USA. • Three patients had positive margins, two were benign tumours, one malignant RCC. No recurrence at 6-24 month follow-up. • Two patients returned to theatre due to bleeding • One patient had angio-embolisation • One patient had urine leak • No loss to follow up at 74 months, median follow-up 30 months Aim Previously most data has been from large institutions in USA, with the largest LNSS series in Australia published in BJUI in 20123. We report our series of LNSS performed in district general hospitals, and seek to determine if LNSS is a feasible option outside of a tertiary referral centre. • Methods • Retrospective review of records of 50 consecutive LNSS • Performed between Sep 2006 & Sep 2012. • All patients who had LNSS were included. • Operations were performed in district general hospitals by two senior surgeons. • Endpoints were: • blood transfusion, • complications, • positive surgical margins, • operation time, • warm ischaemic time • Conclusions • We believe LNSS can be feasibly and safely performed in a district general hospital setting • Experienced surgeons and careful patient selection are vital Acknowledgements Dr Jason Wong RMO Canberra Hospital • References • Ljungberg B, Cowan N, et al. Guidelines on Renal Cell Carcinoma. 2010. European Association of Urology website www.uroweb.org • Gill IS, Kavoussi LR, et al. Comparison of 1800 laparoscopic and open partial nephrectomies for single renal tumors. J Urol 2007; 178:41-46 • Jack GS, Lua M, et al. Integration of laparoscopic partial nephrectomy into an Australian public hospital: three-year follow-up of our initial 50 cases. BJUI 2012; 109 Suppl 3:35-39

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