Evaluation of the efficacy and safety of laparoscopic nephrectomy

Citation
K. Yoshimura et al., Evaluation of the efficacy and safety of laparoscopic nephrectomy, INT J UROL, 8(2), 2001, pp. 37-41
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Urology & Nephrology
Journal title
INTERNATIONAL JOURNAL OF UROLOGY
ISSN journal
0919-8172 → ACNP
Volume
8
Issue
2
Year of publication
2001
Pages
37 - 41
Database
ISI
SICI code
0919-8172(200102)8:2<37:EOTEAS>2.0.ZU;2-K
Abstract
Purpose: To evaluate the efficacy and safety of laparoscopic nephrectomy. Methods: From June 1994 to November 1999, 10 patients underwent laparoscopi c nephrectomy at Osaka University Medical Hospital and Osaka Rosai Hospital . Laparoscopic nephrectomy was performed either via transperitoneal or retr operitoneal approach under general anesthesia. These 10 cases were reviewed in respect of primary disease of the kidney, operative time, complications and postoperative convalescence. Results: Of the 10 patients, five were preoperatively diagnosed as having a non-functioning kidney with hydronephrosis, two patients were diagnosed as having an atrophic kidney, two had renal cell carcinoma and one had renal pelvic tumor. The average operative time was 374 min (range 270-675 min). T he mean blood loss was 330 mL (range 60-800 mL). One patient required trans fusion due to postoperative oozing. The average hospital stay after operati on was 7 days. No major postoperative complications were observed. Conclusion: Laparoscopic nephrectomy is an option in surgically managing re nal disorders, including malignancies, although it has a longer operative t ime compared to conventional open surgery.