Complications of Transabdominal Radical Nephrectomy for Renal Cell Carcinoma

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Abstract
Data from 193 patients demonstrate that most renal cell carcinomas can be removed with acceptable mortality and morbidity by transabdominal, transperitoneal radical nephrectomy through an upper midline incision. During this study, only 12 tumors were removed via a different approach. Four patients, all with stage IV disease, died postoperatively, for an operative mortality of 2.1%. The intraoperative and postoperative complication rates were 20.7 adn 19.1%, respectively. The most common complication was injury to the spleen, which occurred in 24 patients (12.4%) and probably represents the greatest potential disadvantage of this approach.