[Anatomical path of intraperitoneal radical nephrectomy: clinical experience of 60 cases].
OBJECTIVE
To evaluate the safety and efficacy of intraperitoneal anatomical radical nephrectomy (IARN).


METHODS
A retrospective analysis was performed for 60 consecutive patients undergoing IARN at our hospital from March 2007 to December 2009. Various clinical parameters were collected and analyzed statistically.


RESULTS
Sixty operations were performed successfully. There was neither conversion into open surgery nor blood transfusion. The mean operative time was (106 ± 23) min, mean intraoperative estimated blood loss (112 ± 37) ml, mean time of resuming oral intake (2.1 ± 0.7) d, mean time to ambulation (1.9 ± 1.1) d, mean postoperative analgesics (pethidine) dosage (65 ± 25) mg, average drainage volume 100 (50 - 300) ml, mean time of extracting drainage tube (3.6 ± 1.3) d and mean postoperative hospital stay (9.4 ± 2.1) d.


CONCLUSIONS
IARN offers the advantages of distinct anatomical level, shorter operative time, less hemorrhage, less damage, faster postoperative recovery and a lower rate of complications.
Department of Urology, Zhengzhou People's Hospital, Zhengzhou 450003, China. Email: zhgnan@126.com.
Nan
N
Zhang
Zhong-Jie
ZJ
Shan
Qian-He
QH
Han
Jian-Lin
JL
Yuan
D016063:Blood Loss, Surgical; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D009392:Nephrectomy; D012189:Retrospective Studies