Suprapubic-assisted laparoendoscopic single-site surgery versus standard laparoscopic nephrectomy: A propensity...

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Laparoscopic nephrectomy is a standard surgical procedure for kidney removal.
• Minimally invasive techniques aim to reduce patient morbidity and improve recovery.
• Suprapubic-assisted laparoendoscopic single-site surgery (SALS) is an evolving approach to laparoscopic surgery.

Purpose of the Study:

• To compare the safety and efficacy of suprapubic-assisted laparoendoscopic single-site surgery nephrectomy (SALS) with standard laparoscopic nephrectomy (SLN).
• To evaluate patient outcomes, including pain, recovery time, and cosmetic results, between the two surgical techniques.

Main Methods:

• A retrospective case-control study was conducted, comparing 122 SALS cases with 107 SLN cases.
• Propensity score matching was used to create 97 comparable pairs for analysis.
• Key outcomes assessed included operative time, blood loss, complications, pain scores, and recovery metrics.

Main Results:

• No significant differences were found between SALS and SLN in operative time, blood loss, intraoperative or postoperative complications.
• The SALS group demonstrated significantly lower postoperative pain scores (VAS at 24h and discharge), reduced analgesic requirements, and faster return to work.
• Cosmetic outcomes, assessed by the Patient Scar Assessment Questionnaire, were significantly better in the SALS group.

Conclusions:

• Suprapubic-assisted laparoendoscopic single-site surgery nephrectomy and standard laparoscopic nephrectomy are equivalent in terms of safety and efficacy.
• SALS offers significant advantages in terms of reduced postoperative pain, quicker recovery, and improved cosmetic results compared to SLN.
• SALS represents a viable and potentially superior alternative for patients undergoing nephrectomy.