Laparoscopic nephrectomy: analysis of 34 patients
Acta cir. bras
; 18(supl.5): 45-46, 2003. tab
Article
em En
| LILACS
| ID: lil-358586
Biblioteca responsável:
BR1.2
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:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Laparoscopia
/
Nefrectomia
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Acta cir. bras
Assunto da revista:
CIRURGIA GERAL
/
Procedimentos Cir£rgicos Operat¢rios
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil