Objective: The results and complications of the simple and radical nephrectomies that were performed laparoscopically in the clinic bet-ween January 2007 and November 2014, were evaluated retrospectively.
Materials and Methods: 361 laparoscopic nephrectomy series were performed between January 2007 and November 2014. Of 144 pati-ents with renal masses and of 217 patients with nonfunctional kidney, the laparoscopic neph-rectomy was performed.
Transabdominal laparoscopic surgery which has been performed into 273 cases and retroperitoneal laparoscopic surgery which has also been performed into 88 cases, was imple-mented on the right nephrectomies of 179 cases and on the left nephrectomies of 182 cases.
Results: 244 were male and 117 were fema-le, mean age 45.15 ± 24.3 (20 to 72) years of 361 patients. The average operative time was 135.3 ± 47.7 attempts of transabdominal (95-228) mi-nutes and the mean operative time was 141.6 ± 46.6 attempts of retroperitoneal (98-195) minu-tes. The average length of hospital stay 4.3 ± 2.1 (2-7) days. Intraoperative and postoperative pe-riod mean 0.1 ± 0.02 (0-3) units of packed red cells were used. 93 radical nephrectomy clear cell carcinomas, 21 papillary cell carcinoma, 18 chromophobe renal cell carcinoma, 8 oncocy-toma, Multilocular cystic renal cell carcinoma 3 of them, one of them came as metanephric adenoma. It was reported pathologically 177 cases as chronic atrophic kidney, 25 cases as chronic pyelonephritis and the rest of 15 cases as tubulointerstitial nephritis that has been implemented by simple nephrectomy.
Conclusion: Laparoscopic nephrectomy is more prefered for the laparoscopic low morbidity, low complication rates and its short duration of the hospital. The transperitoneal approach provides a wide field of study according to the retroperitoneal approach. Re-nal vascular transperitoneal approach can be more easily dissected structures. Renal vascular structures can be more easily dissected by transperitoneal approach. Whichever approach is to be used vary depending on the surgeon’s preference.
Key Words: Laparoscopy, nephrectomy, complications
Abstract
Objective: The results and complications of the simple and radical nephrectomies that were performed laparoscopically in the clinic bet-ween January 2007 and November 2014, were evaluated retrospectively.
Materials and Methods: 361 laparoscopic nephrectomy series were performed between January 2007 and November 2014. Of 144 pati-ents with renal masses and of 217 patients with nonfunctional kidney, the laparoscopic neph-rectomy was performed.
Transabdominal laparoscopic surgery which has been performed into 273 cases and retroperitoneal laparoscopic surgery which has also been performed into 88 cases, was imple-mented on the right nephrectomies of 179 cases and on the left nephrectomies of 182 cases.
Results: 244 were male and 117 were fema-le, mean age 45.15 ± 24.3 (20 to 72) years of 361 patients. The average operative time was 135.3 ± 47.7 attempts of transabdominal (95-228) mi-nutes and the mean operative time was 141.6 ± 46.6 attempts of retroperitoneal (98-195) minu-tes. The average length of hospital stay 4.3 ± 2.1 (2-7) days. Intraoperative and postoperative pe-riod mean 0.1 ± 0.02 (0-3) units of packed red cells were used. 93 radical nephrectomy clear cell carcinomas, 21 papillary cell carcinoma, 18 chromophobe renal cell carcinoma, 8 oncocy-toma, Multilocular cystic renal cell carcinoma 3 of them, one of them came as metanephric adenoma. It was reported pathologically 177 cases as chronic atrophic kidney, 25 cases as chronic pyelonephritis and the rest of 15 cases as tubulointerstitial nephritis that has been implemented by simple nephrectomy.
Conclusion: Laparoscopic nephrectomy is more prefered for the laparoscopic low morbidity, low complication rates and its short duration of the hospital. The transperitoneal approach provides a wide field of study according to the retroperitoneal approach. Re-nal vascular transperitoneal approach can be more easily dissected structures. Renal vascular structures can be more easily dissected by transperitoneal approach. Whichever approach is to be used vary depending on the surgeon’s preference.
Key Words: Laparoscopy, nephrectomy, complications