Hand assisted laparoscopic radical nephrectomy: comparison with open radical nephrectomy.

Abstract

PURPOSE:

We compared the results of hand assisted laparoscopic and conventional open radical nephrectomy.

MATERIALS AND METHODS:

Clinical data on 54 hand assisted and 50 open radical nephrectomies performed at our hospital from September 1999 to October 2002 were reviewed.

RESULTS:

Mean operative time in the laparoscopic and open groups was similar (194.9 and 180.7 minutes, respectively, p = 0.087). However, estimated mean blood loss (182.8 vs 262.8 ml, p <0.001), mean days to oral intake (2.6 vs 3.7 days, p <0.001) mean duration of an indwelling drain (2.6 vs 3.2 days, p <0.001) and mean hospital stay (6.8 vs 8.9 days, p <0.001) were significantly less in the laparoscopic group. In the laparoscopic group no conversions or re-explorations were required and no major complications occurred.

CONCLUSIONS:

Our findings suggest that hand assisted laparoscopic radical nephrectomy represents an effective, minimally invasive treatment option in patients with suspected renal cell carcinoma.

• Authors: Sang Eun Lee, Ja Hyeon Ku, Cheol Kwak, Hyeon Hoe Kim, Sung Hyun Paick
• Journal: The Journal of urology (J Urol) Vol. 170 Issue 3 Pg. 756-9 (Sep 2003) ISSN: 0022-5347 [Print] United States
• PMID: 12913691 (Publication Type: Comparative Study, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Carcinoma, Renal Cell (surgery)
• Female
• Humans
• Kidney Neoplasms (surgery)
• Laparoscopy
• Logistic Models
• Male
• Middle Aged
• Nephrectomy (methods)
• Retrospective Studies
• Treatment Outcome