eISSN: 3023-6940
  • Home
  • Comparison of laparoscopic and open surgical techniques in kidney pathologies

Original Research

Comparison of laparoscopic and open surgical techniques in kidney pathologies


1 Afyon Kocatepe Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı, Afyonkarahisar

2 Harran Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı, Şanlıurfa


DOI :
New J Urol. 2014; 9 (2): 24-29

Abstract

Objective: Herein, we evaluated surgical resultsof open and laparoscopic kidney surgery during last 11 years, in our clinic.

Materials and Methods: During 11 years time period, 150 patients underwent kidney surgery. We evaluated patients’ data retrospec-tively. One hundred and fourty patients who were followed-up regulary with full data enrol-led. Out of our study groups, simple nephrecto-mies, radical nephrectomies and partial neph-rectomies were performed by open technique in 80 patients (Group 1) and by laparoscopic technique in 60 patients (Group 2). Demogra-pihic data, co-morbidites, previous operations were recorded as pre-operative data, operation time, estimated blood loss, blood transfusion rate were recorded as operative data, urethral catherization, drainage catheterization and hos-pital stay were recorded as post operative data. Additionally, pathology reports and complicati-ons which was classified according to modified Clavien classifications were recorded. Statistical significant p value was accepted as p <0.05.

Results: Mean age was 54.9 years and mean follow-up was 14.8 months. The demographic data of groups were similar. Mean operati-on time was shorter in Group 1 than Group 2 (p<0.05). Estimated blood loss, duration of dre-naige catheter and urethral catheter, hospital stay were statistical significant less in Group 2 than Group 1. There were 4 (5.3%) patients with locally advanced tumors in Group 1 and all pa-tients were with local tumors in Group 2 in pat-hological examinations. There were 12 (15%)complications in Group 1 and 6 (10%) complications in Group 2.

Conclusion: Laparoscopic kidney surgery can be performed with less blood loss, hospital stay and lower complications in clinical prac-tise. Patient selection, to haveabilities for performing transperitoneal and retroperitoneal laparoscopic kidney surgery are key features for laparoscopic kidney surgery.

Key Words: Kidney, laparoscopy, surgical techniques.

 


Abstract

Objective: Herein, we evaluated surgical resultsof open and laparoscopic kidney surgery during last 11 years, in our clinic.

Materials and Methods: During 11 years time period, 150 patients underwent kidney surgery. We evaluated patients’ data retrospec-tively. One hundred and fourty patients who were followed-up regulary with full data enrol-led. Out of our study groups, simple nephrecto-mies, radical nephrectomies and partial neph-rectomies were performed by open technique in 80 patients (Group 1) and by laparoscopic technique in 60 patients (Group 2). Demogra-pihic data, co-morbidites, previous operations were recorded as pre-operative data, operation time, estimated blood loss, blood transfusion rate were recorded as operative data, urethral catherization, drainage catheterization and hos-pital stay were recorded as post operative data. Additionally, pathology reports and complicati-ons which was classified according to modified Clavien classifications were recorded. Statistical significant p value was accepted as p <0.05.

Results: Mean age was 54.9 years and mean follow-up was 14.8 months. The demographic data of groups were similar. Mean operati-on time was shorter in Group 1 than Group 2 (p<0.05). Estimated blood loss, duration of dre-naige catheter and urethral catheter, hospital stay were statistical significant less in Group 2 than Group 1. There were 4 (5.3%) patients with locally advanced tumors in Group 1 and all pa-tients were with local tumors in Group 2 in pat-hological examinations. There were 12 (15%)complications in Group 1 and 6 (10%) complications in Group 2.

Conclusion: Laparoscopic kidney surgery can be performed with less blood loss, hospital stay and lower complications in clinical prac-tise. Patient selection, to haveabilities for performing transperitoneal and retroperitoneal laparoscopic kidney surgery are key features for laparoscopic kidney surgery.

Key Words: Kidney, laparoscopy, surgical techniques.

 

Resources