Related Experiment Video
Updated: May 29, 2026
Single Port Donor Nephrectomy
Published on: March 12, 2011
Hand-assisted laparoscopy confers equal efficacy in simple and radical nephrectomy
Sutchin R Patel1, Daniel M Kaplon, Timothy D Moon
1Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792-7375, USA.
Background And Objectives:
To evaluate outcomes for simple hand-assisted laparoscopic nephrectomy (HALSN).
Methods:
A retrospective chart review was performed at our institution for all patients who had undergone HALSN from January 2002 to January 2009. Thirty-three patients underwent HALSN during this time period and were matched with 33 patients who underwent radical handassisted laparoscopic nephrectomy (HALRN).
Results:
Operative times were similar between both groups (301 vs 286 min for HALSN vs HALRN; P=.54). There were no intraoperative or postoperative transfusions in either group. There was one conversion to open nephrectomy in the HALSN group in a patient with xanthogranulomatous pyelonephritis and no conversions in the HALRN group. The mean opioid equivalence requirement was not statistically different between both groups (110 vs 120 for HALSN vs HALRN, P=.70). Mean hospital stay was similar for patients undergoing HALSN and HALRN (5.0±3.8 days vs 4.0±1.2 days, P=.63). There was 1 major complication in the HALSN group (pulmonary embolus) and no major complications in the HALRN group. Rates of minor complications were comparable between the 2 groups (18% vs 24% for HALSN vs HALRN).
Conclusions:
HALSN may be associated with similar operative times and length of postoperative hospital stay as well as comparable complication rates compared to HALRN.
