[Outcome of open and laparoscopic nephrectomies in a county hospital--centralization]
Lars Lund1, Morten Jønler, Søren Bisballe
1Sygehus Viborg, Urologisk Afdeling. lars.lund@sygehusviborg.dk
Introduction:
The results of conventional open and laparoscopic nephrectomy in a six-year period from a county hospital are presented.
Materials And Methods:
In the period June 1st 1995 to June 2nd 2005, a total of 123 nephrectomies were performed. One hundred and five patients had cancer of whom 85 were operated (46 by laparoscopy and 39 by open surgery). Thirty-eight patients were operated due to a benign disease e.g. non-functional kidney, stone disease etc.
Results:
There were 105 patients (54 men, 51 women) with cancer and 85 were operated. The hospital stay was seven days (2-29) for open surgery. The need for transfusion was 0 units (0-8 units). In 55% of the cases the operation was performed by a senior registrar. Crude survival was 60%. Overall mortality was 1.6% (2 patients).
Conclusion:
It is concluded that nephrectomy, both conventional open and laparoscopical, can safely be performed at a county hospital in terms of surgery, hospital stay, morbidity and mortality. If it is technically feasible one should offer the patient laparoscopic treatment. The operation has a high educational value for surgeons in urological training.
