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Hand-assisted laparoscopic radical nephrectomy: comparison to open radical nephrectomy
S Y Nakada1, P Fadden, D F Jarrard
1Department of Surgery, Division of Urology, University of Wisconsin Medical School, Madison, Wisconsin 53792-3236, USA.
Urology
|October 13, 2001
Summary
Hand-assisted laparoscopic radical nephrectomy (HALRN) offers a safe and effective minimally invasive approach for kidney cancer treatment. Patients experience shorter hospital stays and quicker recovery compared to traditional open surgery.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Standard laparoscopy can be challenging to learn and may complicate specimen removal.
- Hand-assisted laparoscopic surgery (HALS) offers potential advantages in learning curve and specimen handling.
Purpose of the Study:
- To present the institutional experience with hand-assisted laparoscopic radical nephrectomy (HALRN).
- To compare the outcomes of HALRN with contemporary open radical nephrectomy.
Main Methods:
- Eighteen HALRNs were performed for renal tumors (2-11 cm).
- A retrospective comparison was made with 18 matched open radical nephrectomies.
- Patients were matched based on age, BMI, and ASA score.
Main Results:
- HALRN group: average OR time 220.5 min, LOS 3.9 days, return to normal activity 15.8 days, return to work 26.8 days.
- Open group: average OR time 117.8 min, LOS 5.1 days, return to normal activity 23.5 days, return to work 52.2 days.
- HALRN demonstrated significantly earlier return to work and 100% normal activity (P=0.04 and P=0.0002, respectively).
Conclusions:
- HALRN is a safe and effective minimally invasive option for renal tumors.
- HALRN is associated with shorter hospital stays, earlier return to work, and faster recovery than open radical nephrectomy.