The compared study of laparoscopic and open surgery efficiency for kidney cyst / Монголын Анагаах Ухаан

ABSTRACT

Backgroundin 2009 we have been done the laparoscopic nephrectomy in the patient with left kidney cancer. In Urologyand Andrological center of State central hospital we have been done the urological laparoscopic surgerywhich is 0.32% of all surgery from 2010 to 2016. Following such increasing number of laparoscopicsurgery in urology we aimed to study surgical approach’s efficiency between open and laparoscopic forkidney cyst.Material and MethodsSince 2012 in surgery for kidney cysts studies case series models the center UNTE urology andandrology center based on clinical cases 34. Renal cysts with her open and laparoscopic surgicaladmissions bed days, wound size, surgery time, the average number of parameters such as size of thecyst value, standard deviation, median values, the high and low values expressed are compared.ResultIn our study includes 34 patients who was undergo the kidney cystectomy by open or laparoscopictechnique and ages between 18-68 (average age 48.1±12.07). 20 of them female and 14 of them malepatients. 18 of them were undergone laparoscopic cystectomy and 16 were undergone open surgery.Our study show that the cyst size is 2.5-10cm (average size 6±1.7) and there is no statistical correlationbetween cyst size and surgical types. The laparoscopic kidney cystectomy procedure lasts around 55-130min (average duration 93.1±23) which is 26 min longer than open cystectomy. The patient who wentto laparoscopic surgery their hospital staying duration is 2 fold less than the patient who went to opensurgery. Post operation surgical wound long is 4±0.8cm in laparoscopic surgery and 20.1±2.8 in opensurgery and therefore 5 times less in laparoscopic surgeryConclusionEven though the laparascopic kidney cystectomy’s procedure duration is longer than open technique, ithas less hospital staying duration, small surgical wound and fast rehabilation time.