Application of Laparospic Ultrasonography in Surgery of Small Renal Cell Carcinoma

  • Wang, Xiang-Zhu (Department of Ultrasound, DongZhiMeng Hospital of Beijing University of Chinese Medicine) ;
  • Yu, Ze-Xing (Department of Ultrasound, ChaoYang Hospital, Capital Medical University) ;
  • Guo, Rui-Jun (Department of Ultrasound, ChaoYang Hospital, Capital Medical University) ;
  • Xing, Nian-Zeng (Department of Urology, Chaoyang Hospital, Capital Medical University)
  • Published : 2014.11.28


Purpose: : To assess the clinic value of application of laparospic ultrasonography (LU) in partial nephrectomy of small renal cell carcinoma. Materials and Methods: From 2007 to 2011, 28 small renal cell carcinoma patients in ou clinic underwent laparoscopic partial nephrectomy with LU. For comparison with preoperative conventional ultrasound and CT, we collected ultrasonic performance of the affected side kidney, renal tumor location, size, echo change, blood supply situation and the relationship with the surrounding tissue. Results: LU could more clearly show the tumor interior structure and blood supply, as well as the relationship with the surrounding tissue. It also can provided doctor assistance with real-time tumor resection, reducing operative complications. Conclusions: LU can clearly show tumor internal structure and blood supply, which is helpful for explicit diagnosis. Moreover, it supplies accurate information for surgeons and assists surgery. Therefore LU has an important guiding value in partial nephrectomy for small renal cell carcinoma.


  1. Andre K. Berger, Robert J. Stein, et all (2011). Laparoscopic partial nephrectomy: a decade of evolution. J Endourol, 25, 145-50.
  2. Ascenti G, Gaeta M, Magno C, et al (2004). Contrast-enhanced secondharmonic sonography in the detection of pseudocapsule in renal cell carcinoma. Am J Roentgen, 182, 1525-30.
  3. F. M. Sanchez-Martin, F. Millan-Rodriguez, et all (2009). Small renal masses: incidental diagnosis, clinical symptoms, and prognostic factors. Adv Urol, 20, 1-6.
  4. Fukuda M, Mima F, Nakano Y (1982). Studies in echolaparoscopy. Scan J Gastroenterol, 17, 186-92.
  5. Gardner TA, Tirkes T, Mellon M, et al (2011). Imaging techniques for the patient with renal cell carcinoma. Seminares in Nephrol, 31, 245-53.
  6. Gwinn EC, Daly S, Deziel DJ (2013). The use of laparoscopic ultrasound in difficult cholecystectomy cases significantly decreases morbidity. Surg, 154, 909-15.
  7. Hindman NM, Bosniak MA, Mima Y, et al (2012). Multilocular cystic renal cell carcinomar: comparison of imaging and pathologic findings. Am J Roentgenol, 198, 20-6.
  8. Hotston MR, Keeley FX (2013). Laparoscopic partial nephrectomy without ischemia. Arch Esp Urol, 66, 146-51.
  9. Israel GM, Sliverman SG (2011). The incidental renal mass. Radiol Clin North Am, 49, 369-83.
  10. Kang N, Niu Y, Liu CZ, et al (2012). Intraoperative ultrasonography: a useful retrolaparoscopic nephron-sparing surgery. Urologia Internationalis, 88, 338-42.
  11. Kang SK, Chandarana H (2012). Contemporary imaging of the renal mass. Urol Clin North Am, 39, 161-70.
  12. Larygakis NA and Guzzo TJ (2012). Tumor enucleation for small renal masses. Current Opinion Urology, 22, 365-71.
  13. Liu L, Du LF, Zhang TA, et al (2010). Progress of ultrasonic imaging in detection pseudocapsule surrounding renal cell carcinoma. Chinese JMedical Imaging Technology, 26, 1386-88.
  14. Matsuda T (2013). Recent advances in urologic laparoscopic surgeries: laparoendoscopic single-site surgery, natural orifice transluminal endoscopic surgery, robotic and navigation. Asian J Endoscopic Surg, 6, 68-77.
  15. Perlmutter MA (2009). Laparoscopic Doppler Technology in Laparoscopic Renal Surgery, JSLS, 13, 406-10.
  16. Quaia F, Bertolotto M, Robert H, et al (2008). Comparison of con-trast-enhanced sonography with unenhanced sonography and contrast-enhanced CT in the diagnosis of malignancy in the complex cystic renal masses. Am J Roentgenol, 191, 1239-49.
  17. Rebonato A, Pierotti L, Chanda HY, et al (2012). Small renal cell carcinoma ($\leq$4cm):enhancement patterns on triphasic spiral CT. Recenti Progress in medicina, 103, 471-6.
  18. Taili AC, Argyropoulou MI, et al (2012). Renal cell carcinomar: value of multiphase MDCT with multiplanar reformations in the detection of pseudocapsule. Am J Roentgenol, 199, 379-86.
  19. Yu ZX, Guo RJ, Zhang JJ, et al (2010). Application of laparoscopic ultrasoonography in nephrectomy of renal tumors. Chinese J Medical Imaging Technology, 26, 1308-10.

Cited by

  1. Primary small cell carcinoma after renal transplant vol.97, pp.49, 2018,