Prospective comparison between hand-assisted laparoscopic and open surgical nephroureterectomy for urothelial cell carcinoma

Objectives. To prospectively compare open surgical and the new hand-assisted approach to laparoscopic nephroureterectomy for urothelial cell carcinoma. Previous retrospective studies have suggested that standard laparoscopic nephroureterectomy provides a briefer convalescence than open surgical neph...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2001, Vol.57 (1), p.133-137
Main Authors: Seifman, Brian D, Montie, James E, Wolf, J.Stuart
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Female
Follow-Up Studies
Humans
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Laparoscopy - adverse effects
Laparoscopy - methods
Length of Stay
Male
Medical sciences
Postoperative Complications - etiology
Prospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Surveys and Questionnaires
Time Factors
Ureteroscopy - adverse effects
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Summary:Objectives. To prospectively compare open surgical and the new hand-assisted approach to laparoscopic nephroureterectomy for urothelial cell carcinoma. Previous retrospective studies have suggested that standard laparoscopic nephroureterectomy provides a briefer convalescence than open surgical nephroureterectomy. Methods. Between March 1997 and September 1999, 16 hand-assisted laparoscopic and 11 open surgical nephroureterectomies were performed, without randomization. Validated questionnaires were prospectively administered preoperatively and 2 and 6 weeks postoperatively. Results. The operative time was longer with the laparoscopic approach (320 versus 199 minutes, P
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(00)00917-1