[Transperitoneal and retroperitoneal laparoscopic nephrectomy in comparison with conventional nephrectomy].
We report on our clinical experience with laparoscopic nephrectomy in 35 patients. We have performed a total of 18 transperitoneal laparoscopic nephrectomies (TLN) for benign renal disease. After the introduction of a hydraulic dissecting device, we have since performed 17 retroperitoneal laparoscopic nephrectomies (RLN). These data were compared with those in 19 consecutive open nephrectomies (N). All groups were comparable in terms of indication. The mean operative time for benign disease was 206.5 min for TLN, 211.2 min for RLN and 117 min for N. Analgesic medication requirement per patient was 2 days for TLN, 1 day for RLN and 4 days for N, while the postoperative hospital stay averaged 7 days for TLN, 6 days for RLN and 10 days for N. Our results demonstrate the advantage of a laparoscopic approach over open surgery and also reveal the distinct benefit of a retroperitoneal approach. However, due to the small number of indications this procedure should be restricted to a few urologic centers.
Rassweiler
J J
JJ
Urologische Klinik, Städtisches Krankenhaus Heilbronn, Akademisches Lehrkrankenhaus Universität Heidelberg.
Stock
C
C
Frede
T
T
Seemann
O
O
Henkel
T
T
Alken
P
P
D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D007674:Kidney Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D020706:Laparoscopes; D007902:Length of Stay; D009392:Nephrectomy / Q000295:instrumentation*; D010149:Postoperative Pain / Q000209:etiology; D010537:Peritoneum / Q000473:pathology / Q000601:surgery; D012187:Retroperitoneal Space / Q000473:pathology / Q000601:surgery; D013525:Surgical Instruments; D016896:Treatment Outcome
Transperitoneale und retroperitoneale laparoskopische Nephrektomie im Vergleich zur konventionellen Nephrektomie.