[Clinical assessment of perioperative course of patients undergoing laparoscopic nephrectomy or adrenalectomy without perioperative bowel management].

Thirty-one patients underwent laparoscopic radical nephrectomy and 27 patients underwent laparoscopic adrenalectomy from January, 2005 to September, 2009 by a single surgeon authorized by the Japanese Society of Endourology and ESWL. Six patients (radical nephrectomy in 3, adrenalectomy in 3) received perioperative and 52 patients (radical nephrectomy in 28, adrenalectomy in 24) did not. The time of pneumoperitoneum, amount of blood loss, postoperative body temperature and complications revealed no obvious problems in the cases without bowel management. Perioperative bowel management is commonly applied to the patients, but without clinical evidence. Based on the present study, we concluded that bowel management may be safely omitted for laparoscopic redical nephrectomy and adrenalectomy and it may save medical cost including labor cost.

[The use of the PlasmaKinetic TUR system in the treatment of benign prostate hyperplasia: results of 1-year follow up].

INTRODUCTION AND OBJECTIVE: The goal of this study was to evaluate the efficiency of the PlasmaKinetic (PK) system by comparing the preoperative and postoperative results in patients with benign prostate hyperplasia (BPH) treated in this hospital. METHODS: From June 2004 to November 2006, the PK system was utilized for 46 cases of TUR-P in this Hospital. The patients International prostate symptom score (IPSS), QOL score, uroflowmetry, measurement of residual urine amount and ultrasonography were compared before and after the surgery (first month, third month and first year). In addition, the operation times, urethral catheterization times, preoperative and postoperative hemoglobin and serum sodium values of the patients were compared before and after the operations. RESULTS: At 1 and 3 months and 1 year, the IPSS decreased from 28.2 +/- 7.4 to 6.1 +/- 5.9, 2.7 +/- 3.5 and 6.6 +/- 5.3, respectively. The QOL score, decreased from 5.4 +/- 1.0 to 0.9 +/- 1.2, 0.6 +/- 0.9 and 1.3 +/- 1.1, respectively. The maximum urinary flow increased from 3.7 +/- 4.0 ml/s to 19.5 +/- 9.6, 17.9 +/- 7.3 and 18.7 +/- 9.9 ml/s, respectively. The post void residual urine decreased from 104.8 +/- 83.6 ml to 19.4 +/- 25.0, 11.1 +/- 24.7 and 17.9 +/- 28.5 ml, respectively. CONCLUSIONS: Acceptable outcomes with normal recovery from TUR-P were obtained using the PK system.