Laparoscopic nephrectomy: analysis of 34 patients
Acta cir. bras
;
18(supl.5): 45-46, 2003. tab
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Laparoscopía
/
Nefrectomía
Límite:
Adolescente
/
Adulto
/
Niño
/
Child, preschool
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Acta cir. bras
Asunto de la revista:
Cirugía General
/
Procedimentos Cir£rgicos Operat¢rios
Año:
2003
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade de São Paulo/BR
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