title: Laparoscopic nephrectomy: an established routine procedure.
abstract: Between August 1992 and April 1993, 60 patients underwent laparoscopic nephrectomy in our institution for benign disease (35 hydronephrosis, 20 chronic pyelonephritis, 4 end-stage kidney, 1 renal hypoplasia). Conversion to open surgery was needed in six cases to overcome intraoperative bleeding or perirenal adhesions. The mean operative time was 3.5 +/- 1.3 hours, and the mean hospital stay was 3.2 +/- 2.1 days. No deaths occurred, but significant complications were encountered in four cases in the form of pulmonary embolism, a large hematoma, postoperative bleeding, and colonic perforation. Laparoscopic nephrectomy is a safe and effective alternative to open nephrectomy for benign renal conditions.
authors.affiliation: Urology and Nephrology Center, Mansoura University, Egypt.
authors.forename: I
authors.initials: I
authors.lastname: Eraky
authors.forename: H
authors.initials: H
authors.lastname: el-Kappany
authors.forename: M A
authors.initials: MA
authors.lastname: Shamaa
authors.forename: M A
authors.initials: MA
authors.lastname: Ghoneim
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome