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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.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 10, 2011
Summary
Simple hand-assisted laparoscopic nephrectomy (HALSN) shows comparable outcomes to radical hand-assisted laparoscopic nephrectomy (HALRN). Operative times, hospital stay, and complication rates were similar between the two procedures.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrectomy
Background:
- Hand-assisted laparoscopic nephrectomy (HALSN) is a surgical technique for kidney removal.
- Outcomes of simple HALSN require evaluation.
Purpose of the Study:
- To evaluate outcomes for simple hand-assisted laparoscopic nephrectomy (HALSN).
Main Methods:
- Retrospective chart review of 33 HALSN patients from 2002-2009.
- Matched comparison with 33 patients undergoing radical hand-assisted laparoscopic nephrectomy (HALRN).
Main Results:
- Similar operative times (301 vs 286 min) and hospital stays (5.0±3.8 vs 4.0±1.2 days) between HALSN and HALRN.
- Comparable rates of minor complications (18% vs 24%).
- One conversion to open surgery in HALSN (vs. none in HALRN) and one major complication (pulmonary embolus) in HALSN.
Conclusions:
- Simple HALSN demonstrates comparable operative times, hospital stay, and complication rates to HALRN.
- HALSN may be a viable alternative for nephrectomy procedures.
