Retroperitoneal Nephrectomy: Comparison of Laparoscopy with Open Surgery

Retroperitoneal Nephrectomy: Comparison of Laparoscopy with Open Surgery

Retroperitoneal laparoscopic nephrectomy (RLN) is a relatively recent technique whose performance needs to be firmly established. The aim of this study was to compare the results of RLNs in 19 patients with retrospective results for 10 cases of open surgery. Ten of the RLN patients had transplanted...

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Bibliographic Details
Published in:World journal of surgery Vol. 20; no. 6; pp. 713 - 716
Main Authors: Doublet, Jean D., Barreto, Helio S., Degremont, Anne C., Gattegno, Bernard, Thibault, Philippe
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer‐Verlag 01-07-1996
Subjects:
Adolescent
Adult
Aged
Female
Humans
Kidney Transplantation
Laparoscopic Procedure
Laparoscopy - methods
Length of Stay
Male
Middle Aged
Nephrectomy - methods
Operative Time
Postoperative Complication
Postoperative Complications - surgery
Recovery Time
Reoperation
Retroperitoneal Space - surgery
Retrospective Studies
Transplant Recipient
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Summary:Retroperitoneal laparoscopic nephrectomy (RLN) is a relatively recent technique whose performance needs to be firmly established. The aim of this study was to compare the results of RLNs in 19 patients with retrospective results for 10 cases of open surgery. Ten of the RLN patients had transplanted kidneys. We used a slightly modified, already published technique with only three trocars that did not require balloon dilatation of the retroperitoneal space. It was successful in patients with and without transplants. The average operative times of RLN and open surgery were 115 and 110 minutes, respectively. In no instance did the laparoscopic procedure need to be converted to open surgery. There were no peri‐ or postoperative complications that could be related to the RLN technique. The average length of hospitalization after RLN was considerably shorter (3.8 days) than after open surgery (7.9 days). In conclusion, our experience shows that RLN is a safe, reproducible technique that reduces recovery time. It has become our first‐line approach for simple nephrectomy, nephroureterectomy for ureteral tumors, and removal of the native kidney in transplant recipients.
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ISSN:0364-2313
1432-2323
DOI:10.1007/s002689900109