Laparascopic Nephrectomy: Different Techniques and Approaches

León, Tania González

doi:10.1007/s11934-014-0476-4

Cited by 7 publications

(6 citation statements)

References 81 publications

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“…Compared to open surgery, it is a more comfortable surgical method. Laparoscopic nephrectomy provides less intraoperative bleeding, less postoperative pain, shorter hospital-stay, and better cosmetic results than open nephrectomy (11)(12)(13).…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Complicatıons Following Laparoscopic Radical and Simple Nephreoctomy Using the Clavien-dindo Clasification

Eryılmaz¹,

Aslan²,

Taken³

et al. 2019

Haseki

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In this article, we aimed to compare the complications occurring after laparoscopic radical (LRN) and simple nephrectomy (LSN). Methods: After obtaining local ethics committee approval, we analyzed the records of a total of 98 patients, who underwent transperitoneal laparoscopic nephrectomy. LSN and LRN were performed in 64 and 34 patients, respectively. The Clavien-Dindo classification was used for evaluating complications. Pneumoperitoneum was created using a Veress needle. Intraabdominal carbon dioxide pressure was 18 mmHg while three 10 mm trocars were inserted and then one 5 mm trocar was inserted if needed. Results: The mean age of the LSN and LRN patients was 38.8±18.43 and 55.7±14.75 years, respectively. Five patients who underwent LSN developed postoperative minor complications (fever in one patient, nausea and vomiting in four patient). In addition, one patient who underwent LSN died postoperatively (vascular injury). Minor complications (fever in two patients, nausea and vomiting two, and ileus in one patient) developed postoperatively in five of 34 patients in LRN group. Conclusion: The rate of complication after LRN was found to be statistically significantly higher than that after LSN.

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Section: Discussionmentioning

confidence: 99%

“…In general, laparoscopic surgery appears to be more advantageous when compared with open surgery (11,12). Therefore, open surgery is replaced by laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Complicatıons Following Laparoscopic Radical and Simple Nephreoctomy Using the Clavien-dindo Clasification

Eryılmaz¹,

Aslan²,

Taken³

et al. 2019

Haseki

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“…The transperitoneal technique might be finished using a hand or a full laparoscopic surgery. Using the incision in the hand port, the laparoscopic hand-assisted approach enables the surgeon to use his hand to help with dissection, retraction, and kidney excision (4) .…”

Section: Introductionmentioning

confidence: 99%

Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys

Shaker¹,

Ibrahim²,

Elnasr³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Laparoscopic surgery is increasingly popular for difficult and oncologic treatments, in addition to straightforward ones. Recent developments in minimally invasive surgery and surgical technique result in a shorter hospital stay, decreased mortality, less analgesic use, and improved cosmetic outcomes as compared to open surgery. Objective: The aim of the current study is to identify the predictive factors (etiology, demographic data and clinical characteristics) on the prognosis of laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. Patients and methods: A one-arm clinical trial was conducted at Fayoum University Hospital. A total of 40 patients underwent laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. All participants were subjected to history taking and complete clinical examination to determine their suitability for laparoscopic surgery. Results: Age, sex, the side of the resected kidney and high serum creatinine levels did not significantly affect the success of the laparoscopic nephrectomy. A significant improvement was observed in the operative time, and preventing intra-and postoperative complications. Conclusion: Turbid content of the pelvicalyceal system and history of prior urological intervention were the most important predictive factors for bad prognosis of laparoscopic nephrectomy for hydronephrotic non-functioning kidneys.

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“…Nonetheless, nowadays there are numerous studies that report the outcomes of this approach for the treatment of specific entities and compare them with the transperitoneal approach. (5,6) Performing some of the techniques of the lumboscopic approach is more difficult. Medical literature reports varying percentages of complications and need of conversion to open surgery, in correspondence with the complexity of the techniques included in the different studies.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic retroperitoneal approach for urinary tract surgery. Predictive factors of complications and conversion to open surgery

et al. 2022

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Introduction: Surgery by lumboscopic approach is of choice for some work groups, despite being more arduous and requiring a higher learning curve. Objective: To assess the lumboscopic approach and identify predictive factors of complications and conversion to open surgery. Material and Methods: A transversal, retrospective study of 436 patients that underwent surgery by lumboscopy at the National Center for Minimally Invasive Surgery, 2008-2019. Absolute and relative frequencies; the Chi-Square Test and Student´s t Test and the Multiple Logistics Regression, were utilized, (p≤0.05). Results: Renal atrophy due to benign diseases (49.8%), renoureteral lithiasis (26.6%), surgery of moderate complexity (71.9%) prevailed, such as nephrectomy (50.2%). 16.1% had undergone prior surgery, and 12.4% a urinary derivation. 3% required conversion to open surgery and 18.8% presented complications. Renal staghorn and non-staghorn lithiasis, surgical technique, level of complexity of the surgery, operative time, transoperative bleeding and length of hospital stay were significantly associated (p<0.05) to complications, but after measuring logistics regression, only hospital stay resulted statistically significant (p=0.000). Regarding conversion: gender, past history of prior surgery, operative time and bleeding were significantly associated (p<0.05) in both the univariate and multivariate analysis. Conclusions: Nephrectomy due to benign causes and surgeries of moderate complexity prevailed in this series. The perioperative outcomes were satisfactory and the most frequent complications were postoperative, infectious and of grade II severity. Longer hospital stay was a predictive factor for complications whereas males, past history of prior surgery, longer operative time and bleeding were identified as predictive factors for conversion to open surgery.

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Laparascopic Nephrectomy: Different Techniques and Approaches

Cited by 7 publications

References 81 publications

Comparison of Complicatıons Following Laparoscopic Radical and Simple Nephreoctomy Using the Clavien-dindo Clasification

Comparison of Complicatıons Following Laparoscopic Radical and Simple Nephreoctomy Using the Clavien-dindo Clasification

Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys

Laparoscopic retroperitoneal approach for urinary tract surgery. Predictive factors of complications and conversion to open surgery

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