A comparison study of retroperitoneal laparoscopic and open radical nephrectomy / 中国微创外科杂志

ABSTRACT

Objective To evaluate the clinical value of retroperitoneal laparoscopic and open radical nephrectomy.Methods Clinical data of 12 cases of retroperitoneal laparoscopic radical nephrectomy(Retroperitoneal Group) and 13 cases of open radical nephrectomy(Open Group) from March 2004 to March 2005 in this hospital were retrospectively analyzed and compared in respect of operation time,hemorrhage volume in operation,postoperative hospitalization,and occurrence of complications.Results The two groups of procedure were successfully completed.The operation time was significantly longer in the Retroperitoneal Group(111.1?20.9 min) than in the Open Group(90.1?10.2 min)(t=3.234,P=0.004).The intraoperative hemorrhage volume was significantly less in the Retroperitoneal Group(96.3?15.5 ml) than in the Open Group(150.0 ?25.8 ml)(t=-6.240,P=0.000).The length of postoperative hospital stay was significantly shorter in the Retroperitoneal Group(8.3?2.0 d) than in the Open Group(11.7?2.2 d)(t=-4.031,P=0.000).Conclusions Retroperitoneal laparoscopic radical nephrectomy has advantages oves open nephrectomy in intraoperative hemorrhage volume and postoperative recovery,but operation time is longer and the cost is more expensive.