[Laparoscopic nephrectomies: initial experience of a community hospital]. / Nefrectomías laparoscópicas: experiencia inicial de un hospital comunitario.

We present our initial experience with 34 laparoscopic nephrectomies performed in a 29 months period of time. 32% of the patients with renal tumor (clinical stage T1-T2) and the others for benign pathology. Average surgical time was 131 minutes (70-210). Average bleeding was 330 ml (50-2500). Average time of hospitalization was 2,7 days (1-14). 62% of patients were discharged to home between the first and second day post surgery. One patient with tumor required conversion to open surgery for an hilium bleeding. There were 3 serious complications (9%), included one patient died by septic shock and one lesion of left colon that required segmental colectomy. The results of this initial serie are promissory and a special care should be taken in selection of patients to achieve good results with low surgical morbidity.

Nefrectomías laparoscópicas: experiencia inicial de un hospital comunitario / Laparoscopic nephrectomies: initial experience of a community hospital

Presentamos nuestra experiencia inicial con 34 nefrectomías laparoscópicas operadas en un período de 29 meses. El 32% de los pacientes con tumor renal (estadio clínico T1-T2) y el resto por patología benigna. El tiempo quirúrgico promedio fue de 131 minutos (70-210). El sangramiento promedio fue de 330 ml (50-2.500). El tiempo de hospitalización promedio fue de 2,7 días (1-14). El 62% de los pacientes fue dado de alta entre el primer y segundo día post quirúrgico. Un paciente con tumor requirió conversión a cirugía abierta debido a un sangramiento del hilio. Hubo 3 complicaciones graves (9%), incluidas un paciente fallecido por shock séptico y una lesión de colon izquierdo que requirió de colectomía segmentaría. Los resultados de esta serie inicial son promisorios y se debe tener un especial cuidado en la selección de los pacientes para lograr resultados óptimos con baja morbilidad quirúrgica

We present our initial experience with 34 laparoscopic nephrectomies performed in a 29 months period of time. 32% of the patients with renal tumor (clinical stage T1-T2) and the others for benign pathology. Average surgical time was 131 minutes (70-210). Average bleeding was 330 ml (50-2500). Average time of hospitalization was 2,7 days (1-14). 62% of patients were discharged to home between the first and second day post surgery. One patient with tumor required conversion to open surgery for an hilium bleeding. There were 3 serious complications (9%), included one patient died by septic shock and one lesion of left colon that required segmental colectomy. The results of this initial serie are promissory and a special care should be taken in selection of patients to achieve good results with low surgical morbidity