Laparoscopic vs open partial nephrectomy in consecutive patients: the Cornell experience

OBJECTIVE To compare a contemporary series of laparoscopic partial nephrectomy (LPN) and open partial nephrectomy (OPN) at one institution, to evaluate the size and types of tumour in each group and the early outcome after each procedure, as LPN is replacing open radical nephrectomy as the standard...

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Bibliographic Details
Published in:BJU international 2005-10, Vol.96 (6), p.811-814
Main Authors: Schiff, Jonathan D., Palese, Michael, Vaughan, E. Darracott, Sosa, R. Ernest, Coll, Diedre, Del Pizzo, Joseph J.
Format: Article
Language:English
Subjects:
Biological and medical sciences
clear cell carcinoma
Female
Humans
kidney
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Kidneys
laparoscopy
Laparoscopy - methods
Length of Stay
Male
Medical sciences
Middle Aged
Nephrectomy - methods
Nephrology. Urinary tract diseases
oncocytoma
partial nephrectomy
Postoperative Complications - etiology
Prospective Studies
renal cell carcinoma
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Tumors of the urinary system
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Summary:OBJECTIVE To compare a contemporary series of laparoscopic partial nephrectomy (LPN) and open partial nephrectomy (OPN) at one institution, to evaluate the size and types of tumour in each group and the early outcome after each procedure, as LPN is replacing open radical nephrectomy as the standard of care for uncomplicated renal tumours but partial nephrectomy remains significantly more difficult laparoscopically, especially if the goal is to duplicate the open surgical technique. PATIENTS AND METHODS We retrospectively analysed the records of all patients who underwent partial nephrectomy at our institution from January 2000 to April 2004, identifying 66 who had LPN and compared them with 59 who had OPN (mean age at LPN and OPN, 62.1 and 64.2 years, respectively; 70% men in each group). Variables analysed included operative time, blood loss, creatinine levels before and after partial nephrectomy, time to resuming clear liquids and regular diet, length of stay, tumour size, tumour pathological type and complications. Groups were compared using Student's t‐test, with P 
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2005.05718.x