Whole organ retrieval in laparoscopic resection of urologic malignancies

Abstract

Endoscopic resection for malignant disease carries the inherent risks for intracorporeal dissemination. The association between tumour spillage during surgery with local recurrence demands minimizing opportunities for this to occur. The goal of tissue removal through a limited trocar site using morcellation techniques may compromise complete removal of the specimen. Whole organ delivery of adrenal, renal and bladder specimens through the trocar site or an extended incision minimizes the risk of tumour dissemination, and has not been associated with a significant increase in morbidity or pain in our experience. Placement of the kidney into an organ entrapment sack immediately following resection should theoretically reduce the chances of tumour cell shedding during the removal of the specimen. Illustrative cases dependent on surgical approach and specimen size are presented.

Key Words:

• laparoscopy
• malignancy
• kidney
• adrenal