Comparative study of laparoscopic partial nephrectomy and traditional open procedure: analysis of 26 cases

To evaluate the feasibility and technique points of laparoscopic partial nephrectomy in the treatment of malignant renal tumor. 26 patients with malignant renal tumor underwent partial nephrectomy over the past 5 years, including 11 cases treated with laparoscopic partial nephrectomy, with the mean...

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Published inZhong hua yi xue za zhi Vol. 87; no. 36; p. 2549
Main Authors Ou, Tong-Wen, Zhang, Yi, Cui, Xin, Zhang, Bao
Format Journal Article
LanguageChinese
Published China 25.09.2007
Subjects
Adult
Aged
Feasibility Studies
Female
Humans
Kidney Neoplasms - surgery
Laparoscopy
Male
Middle Aged
Nephrectomy - methods
Retrospective Studies
Treatment Outcome
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Summary:To evaluate the feasibility and technique points of laparoscopic partial nephrectomy in the treatment of malignant renal tumor. 26 patients with malignant renal tumor underwent partial nephrectomy over the past 5 years, including 11 cases treated with laparoscopic partial nephrectomy, with the mean tumor size of 2.4 cm (1.6 - 4.2 cm), and 15 cases treated with traditional open procedure, with the mean tumor size of 2.6 cm (1.8 - 3.1 cm). The surgical techniques of the laparoscopic partial nephrectomy included laparoscopic clamp control of the renal hilum in order to allow cold knife excision of the mass, with laparoscopic repair of the collecting system. The operative time, blood loss, warm ischemia time, perioperative complications, fluid intake time, and convalescence were evaluated and compared. Laparoscopic procedures were successful conducted in the 11 patients without necessity to converse to open surgery. The operative time of the traditional open procedure group was (92 +/- 36) min, significantly shor
ISSN:0376-2491