Laparoscopic wedge resection of a renal mass in a solitary kidney.

Laparoscopic radical nephrectomy has gained acceptance as a viable means of managing renal neoplasms. Partial nephrectomy has traditionally been performed through a flank or transabdominal incision, with its attendant morbidity and required hospitalization. Laparoscopic renal-sparing surgery may be more technically demanding, but remains beneficial to the patient if performed with adherence to oncological principles. We present a case of laparoscopic renal-sparing surgery in a patient with a renal mass in a solitary kidney. We discuss the technical and oncological challenges of this approach.

Intraoperative treatment planning for radioactive seed implant therapy for prostate cancer.

We describe a procedure for intraoperative treatment planning for seed implantation. One hundred seven treatment plans have been analyzed at the Beth Israel Deaconess Medical Center and affiliated hospitals. The average time for the intraoperative procedure was 1. 74 hours. No significant difference in dose coverage to the prostate or normal tissues was evident.