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[Urologic laparoscopy in marginal patients].

C Doehn1, P Fornara, D Jocham

  • 1Klinik und Poliklinik für Urologie, Medizinische Universität zu Lübeck, Ratzeburger Allee 160, 23538 Lübeck. doehn@medinf.mu-luebeck.de

Der Urologe. Ausg. A
|May 8, 2002
PubMed
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Urological laparoscopy is effective for borderline patients, including geriatric individuals and those with renal failure. This minimally invasive approach offers benefits comparable to open surgery for procedures like laparoscopic nephrectomy.

Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Borderline patients, including geriatric individuals and those with renal failure, present unique challenges in urological surgery.
  • The feasibility and effectiveness of laparoscopic surgery compared to open surgery are critical considerations for this patient group.

Purpose of the Study:

  • To evaluate the use of urological laparoscopy in borderline patients.
  • To assess the effectiveness of laparoscopic nephrectomy in geriatric patients and those with renal failure.

Main Methods:

  • Review of current literature on laparoscopic urological procedures in borderline patients.
  • Comparison of operative and postoperative parameters between laparoscopic and open surgery.

Main Results:

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  • Laparoscopic nephrectomy has demonstrated positive results in terms of feasibility and effectiveness for borderline patients.
  • Pneumoperitoneum may be a concern in some borderline patients, potentially favoring open techniques.
  • Current literature supports laparoscopy's effectiveness even with risk factors present.

    • Conclusions:

    • Borderline patients can significantly benefit from the laparoscopic approach for nephrectomy.
    • While data are limited for other laparoscopic procedures in this group, findings from laparoscopic nephrectomy likely extend to other procedures.