results of laparoscopic resection of kidney tumor in everyday clinical practice

mors. We can read about excellent results of LR from many articles in various journals, but most articles have their origin in a limited number of these “centers of excellence” and the same series are published from different points of view only. Former indications for LR were small exophytic renal tumors well accessible to laparoscopic instruments. Centers of excellence are able to resect even more complex tumors – a tumor of the upper pole [2], central [3] and hilar tumors [4, 5], tumors T1b, T2 and worse [6, 7], other unusual cases (previous renal surgery, multiple tumors, adrenal gland involvement, concomitant renal artery disease, obese patients), and even in a solitary kidney [8]. What is typical for this center of excellence? The surgery is performed mostly by a single surgeon [2, 4, 5, 9-11], by two surgeons [3, 12], or even three surgeons [13]. In all these centers, LR is the leading or one of the leading topics of their works and all of these urologists are fans of LR and they are super-specialized for LR. We would like to present the possibility of applying this technique to everyday clinical practice. We have compared our results of LR with results in the “center of excellence” as well as with our results of OR. We have analyzed the possibilities of improving the technique in the course of time. We compared the results at the start of the method (first half of LRs) with a later period with higher opinions. MaterIal and Methods