International Surgery Journal | April 2021 | Vol 8 | Issue 4 Page 1329 International Surgery Journal Shetty S et al. Int Surg J. 2021 Apr;8(4):1329-1333 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Case Report Re-visiting laparoscopic radical nephrectomy- the past, present and future: case report and review of literature Saiprasad Shetty*, Prakash Shetty, Abhijit Joshi INTRODUCTION The first laparoscopic nephrectomy was performed in 1990. This was rapidly accepted world-wide and became a viable alternative for the surgical management of T1 renal tumors. LRN is considered as the gold standard for management of patients with T1 renal cell carcinoma (RCC) who cannot be considered for nephron-sparing surgery (NSS). Over time, minimally invasive approaches have been also used for excision of larger lesions. The standard advantages of laparoscopy over open surgical approaches are well known. Intra-operative blood loss, time of hospital stay, analgesia used, and time of convalescence have all been shown to be shorter in laparoscopic surgery, without compromising on oncological outcomes. For these reasons, laparoscopic radical nephrectomy has now been even for renal masses more than seven centimetres in size. CASE REPORT We hereby present a case of a 75-year-old female who presented to the OPD with chief complaint of painless haematuria on and off, for 1 month. She had no other complaints. She was a known case of diabetes with no history of any previous surgeries. Her lab reports were as follows: Hb- 9.7 g/dl, tlc- 8,500 /mm 3 , creatinine 1.2 mg/dl, urine routine examination showed plenty RBCs and urine culture showed no growth. She was planned for Contrast Enhanced Computed Tomography (CECT) of the abdomen which showed a growth in the upper pole of the left kidney which measured approximately 4×3×2.5 cm ABSTRACT Laparoscopic radical nephrectomy (LRN) has since long proven its therapeautic credentials in the field of renal cancer. Since the first reported case of LRN thirty years ago, it has stood the test of time. With the development of newer energy sources, better optics and ergonomically superior instruments, it has further established itself as the milestone or the landmark with which all future variations in the field of renal cancer surgery would be compared. Newer procedures such as retroperitoneoscopic radical nephrectomy, laparoscopic partial nephrectomy, robotic radical nephrectomy and partial nephrectomy and few other more conservative procedures such as radio-frequency ablation, cryo-ablation etc. are examples of these variations. In this paper, we present a case report on laparoscopic radical nephrectomy, review literature on the subject and delve into comparisons with newer procedures vis-à-vis their individual pros and cons. Through this study we are portraying the past, present and future of laparoscopic radical nephrectomy. Keywords: Laparoscopic radical nephrectomy, Retroperitoneoscopic, Robotic, Partial nephrectomy, Cryoablation, Radiofrequency ablation Departments of Surgery and Urology, Dr. L H Hiranandani Hospital, Powai, Mumbai, India Received: 07 December 2020 Revised: 16 March 2021 Accepted: 17 March 2021 *Correspondence: Dr. Saiprasad Shetty, E-mail: saishetty1@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2349-2902.isj20211318