Laparoscopic nephrectomy: analysis of 34 patients
Acta cir. bras
;
18(supl.5): 45-46, 2003. tab
Article
in English
| LILACS
| ID: lil-358586
RESUMO
Objective:
To analyze the clinical experience of laparoscopic nephrectomy for benign and malignant diseases at a university hospital.Methods:
From February 2000 to March 2003, 34 patiems (14 men and 20 women) underwent transperitoneal laparoscopic total nephrectomy at the Hospital das Clinicas - FMRP-USP 28 (82.3 percent) patients had benign diseases and 6 (17.7 percent) malignant neoplasias. Benign diseases were represented by urinary stones (N-9, 32.1 percent), chronic pyelonephritis (N-8, 28.6 percent), vesicoureteral reflux (N-4, 14.3 percent), ureteropelvic obstruction (N-3, 10.7 percent), multicystic kidney (N-2, 7.1 percent) and pyonephrosis (N-2, 7.1 percent). Patients age range was 2-79 years (mean - 35,1 years).Results:
In 32/34 patients the procedures were accomplished successfully. In 2 (5.8 percent) cases of pyonephrosis, open conversion was necessary due to perinephric abscess and difficulties in dissection of renal hilum. Two patients had intraoperative complications (1 duodenum serous laceration an 1 vascular lesion of renal hilum), but both were managed laparoscopically. Two (5.8 percent) post operative complications (1 delayed bleeding and 1 pancreatic fistula) required open surgical exploration. The mean time of hospital stay was 58h (18 to 240h).Conclusion:
Laparoscopic nephrectomy proved to be a method safe and associated with a low rate of morbidity, shorter hospital stay and no casualties.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Laparoscopy
/
Nephrectomy
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2003
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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