Initial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting

Introduction: Laparoscopic nephrectomy has gained widespread acceptance as a treatment for both benign and malignant conditions and is becoming increasingly popular in Irish hospitals. We report a single surgeon, single centre experience with 20 consecutive laparoscopic nephrectomies comparing them...

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Bibliographic Details
Published in:The surgeon (Edinburgh) 2009-08, Vol.7 (4), p.211-214
Main Authors: Forde, J.C, McGuire, B.B, Lawson, M.B, Power, R.E
Format: Article
Language:English
Subjects:
Adult
Aged
Cohort Studies
Female
Humans
Ireland
Irish
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
laparoscopic
Laparoscopy - methods
Male
Middle Aged
nephrectomy
Nephrectomy - methods
Retrospective Studies
Surgery
Surgical Stapling
Treatment Outcome
Young Adult
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Summary:Introduction: Laparoscopic nephrectomy has gained widespread acceptance as a treatment for both benign and malignant conditions and is becoming increasingly popular in Irish hospitals. We report a single surgeon, single centre experience with 20 consecutive laparoscopic nephrectomies comparing them to 20 open cases performed prior to the establishment of a laparoscopic service. Methodology: A retrospective comparative analysis was carried out over an 18 month period. Transperitoneal approach was used in the laparoscopic group with renal vessels divided using an Endo GIA® stapling device. Parameters examined included age, weight, indication, operative time, blood loss, tumour size, length of stay and analgesic requirements. Comparison was made with 20 open nephrectomies. Results: Mean age (p=0.26) and weight (p=0.08) were similar in both groups. Average tumour size was similar (4.98cm [range 2.8–9] in laparoscopic group versus 6.4cm [range 3–10], p=0.61). Mean operative blood loss was reduced in the laparoscopic group (65ml (range 50–200) versus 351ml (50–1740) (p=
ISSN:1479-666X
2405-5840
DOI:10.1016/S1479-666X(09)80087-5