[Anatomical path of intraperitoneal radical nephrectomy: clinical experience of 60 cases]
Nan Zhang1, Zhong-Jie Shan, Qian-He Han
1Department of Urology, Zhengzhou People's Hospital, Zhengzhou 450003, China.
Objective:
To evaluate the safety and efficacy of intraperitoneal anatomical radical nephrectomy (IARN).
Methods:
A retrospective analysis was performed for 60 consecutive patients undergoing IARN at our hospital from March 2007 to December 2009. Various clinical parameters were collected and analyzed statistically.
Results:
Sixty operations were performed successfully. There was neither conversion into open surgery nor blood transfusion. The mean operative time was (106 ± 23) min, mean intraoperative estimated blood loss (112 ± 37) ml, mean time of resuming oral intake (2.1 ± 0.7) d, mean time to ambulation (1.9 ± 1.1) d, mean postoperative analgesics (pethidine) dosage (65 ± 25) mg, average drainage volume 100 (50 - 300) ml, mean time of extracting drainage tube (3.6 ± 1.3) d and mean postoperative hospital stay (9.4 ± 2.1) d.
Conclusion:
IARN offers the advantages of distinct anatomical level, shorter operative time, less hemorrhage, less damage, faster postoperative recovery and a lower rate of complications.
