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Titolo:
NEPHRECTOMY - A COMPARATIVE-STUDY BETWEEN THE TRANSPERITONEAL AND RETROPERITONEAL LAPAROSCOPIC VERSUS THE OPEN APPROACH
Autore:
RASSWEILER J; FREDE T; HENKEL TO; STOCK C; ALKEN P;
Indirizzi:
STADTKRANKENHAUS HEILBRONN,DEPT UROL,GESUNDBRUNNEN 20 D-74078 HEILBRONN GERMANY DIAKONISSENKRANKENHAUS MANNHEIM,DEPT UROL MANNHEIM GERMANY UNIV HEIDELBERG,CLIN FAC,SCH MED,KLINIKUM MANNHEIM,DEPT UROL D-6900 HEIDELBERG GERMANY
Titolo Testata:
European urology
fascicolo: 5, volume: 33, anno: 1998,
pagine: 489 - 496
SICI:
0302-2838(1998)33:5<489:N-ACBT>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
SURGERY; NEPHROURETERECTOMY; COMPLICATIONS; EXPERIENCE; UROLOGY;
Keywords:
LAPAROSCOPIC NEPHRECTOMY; TRANSPERITONEAL LAPAROSCOPIC NEPHRECTOMY; RETROPERITONEAL LAPAROSCOPIC NEPHRECTOMY; COMPARISON TO OPEN NEPHRECTOMY; COMPLICATIONS; HOSPITAL STAY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
J. Rassweiler et al., "NEPHRECTOMY - A COMPARATIVE-STUDY BETWEEN THE TRANSPERITONEAL AND RETROPERITONEAL LAPAROSCOPIC VERSUS THE OPEN APPROACH", European urology, 33(5), 1998, pp. 489-496

Abstract

Objectives: Different techniques have been introduced to perform laparoscopic nephrectomy using either the transperitoneal or the retroperitoneal route. However, to date only few data exist comparing the results and morbidity of these procedures as well as with the standard technique of open nephrectomy. Material and Methods: This paper compares the clinical results of 18 transperitoneal laparoscopic nephrectomies (TLN) for benign renal disease with 17 retroperitoneal laparoscopic nephrectomies (RLN) and 19 consecutive open nephrectomies (Nx). All groups were comparable in terms of indication. The analysis of clinical data included operative time, morbidity, length of analgesic use and postoperative hospital stay. Results: The mean operative time for benign disease was 206.5 for TLN, 211.2 for RLN and 117 min for open nephrectomy. Analgesic medication requirement per patient was 2 days for TLN, 1day for RLN and 4 days for Nx while the postoperative hospital stay averaged 7 days for TLN, 6 days for RLN and 10 days for Nx. The time ofconvalescence was 21 days after RLN, 24 days after TLN versus 40 daysafter open nephrectomy. Conclusions: Our results demonstrate an overall clear advantage of a laparoscopic approach when compared to open surgery and also reveals distinct benefits of a retroperitoneal approach.

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Documento generato il 04/07/20 alle ore 13:25:33