[Hand-assisted laparoscopic renal surgery: report of 45 cases].
OBJECTIVE
To evaluate the effect and clinical application of hand-assisted laparoscopic renal surgery.


METHODS
Forty-five patients with urologic diseases underwent hand-assisted laparoscopic renal surgery: radical nephrectomy was performed on 23 cases, simple nephrectomy on 9 cases, nephroureterectomy on 8 cases, excision of cysts of kidney on 3 cases, partial nephrectomy on 1 case, and upper pole heminephrectomy in duplex kidney on 1 case. The operation was performed by transperitoneal approach in 38 cases and by underwent and by retroperitoneal approach in 7 cases.


RESULTS
Hand-assisted laparoscopic renal surgery were performed successfully on all patients. The mean operation time was 154.7 minutes (40 approximately 300 min), and the mean estimated blood loss was 100.4 ml (15 approximately 300 ml).


CONCLUSIONS
With the advantages of minimal invasion, less blood loss, faster recovery, hand-assisted laparoscopic renal surgery is worth popularizing in urologic clinical practice.
Xie
Li-ping
LP
Department of Urology, First Affiliated Hospital, Medical College of Zhejiang University, Hangzhou 310003, China. xielp@zjuem.zju.edu.cn
Qin
Jie
J
Zheng
Xiang-yi
XY
Wang
Shuo
S
Shen
Bo-hua
BH
Wang
Wei
W
Chen
Jun
J
Jiang
Hai
H
Zhao
Wei-ping
WP
Wan
Qun
Q
Xia
Dan
D
Lou
Guo-guang
GG
Chen
Ge-ming
GM
Wang
Yi-min
YM
Chen
Hui-ying
HY
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*