Retroperitoneal Laparoscopic Versus Open Radical Nephrectomy

Abbou, Clément‐Claude; Cicco, Antony; Gasman, D.; Hoznek, Andràs; Antiphon, Patrick; Chopin, Dominique; Salomon, Laurent

doi:10.1016/s0022-5347(05)68797-6

Cited by 172 publications

(44 citation statements)

References 29 publications

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“…The laparoscopic group experienced less postoperative pain and returned to normal activities sooner. From a sample of 58 patients, Abbou et al [3] showed that the laparoscopic (retroperitoneal) group experienced less pain in the postoperative period compared to the open nephrectomy group (2b). In the fourth study, Pace et al [93] compared laparoscopic (transperitoneal) with open nephrectomy in a series of 61 patients (2b).…”

Section: Nephrectomy For Malignancymentioning

confidence: 99%

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

et al. 2004

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Background: Measuring health-related quality of life (QoL) after surgery is essential for decision making by patients, surgeons, and payers. The aim of this consensus conference was twofold. First, it was to determine for which diseases endoscopic surgery results in better postoperative QoL than open surgery. Second, it was to recommend QoL instruments for clinical research. Methods: An expert panel selected 12 conditions in which QoL and endoscopic surgery are important. For each condition, studies comparing endoscopic and open surgery in terms of QoL were identified. The expert panel reached consensus on the relative benefits of endoscopic surgery and recommended generic and disease-specific QoL instruments for use in clinical research. Results: Randomized trials indicate that QoL improves earlier after endoscopic than open surgery for gastroesophageal reflux disease (GERD), cholecystolithiasis, colorectal cancer, inguinal hernia, obesity (gastric bypass), and uterine disorders that require hysterectomy. For spleen, prostate, malignant kidney, benign colorectal, and benign non-GERD esophageal diseases, evidence from nonrandomized trials supports the use of laparoscopic surgery. However, many studies failed to collect long-term results, used nonvalidated questionnaires, or measured QoL components only incompletely.

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Section: Nephrectomy For Malignancymentioning

confidence: 99%

Evaluation of quality of life after laparoscopic surgery: evidence-based guidelines of the European Association for Endoscopic Surgery

et al. 2004

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“…using the retroperitoneal laparoscopic approach. 7 Patients who underwent hand-assisted retroperitoneoscopic radical nephrectomy revealed significantly less postoperative pain, shorter intervals to the resumption of oral intake and more rapid return to normal activities compared to patients who underwent open radical nephrectomy. Although the advantages in comparison with the open procedure were obvious, morbidity concerning the longer incision is thought to be a possible demerit of the hand-assisted procedure against standard laparoscopic procedure.…”

Section: Discussionmentioning

confidence: 90%

“…6 Although the transperitoneal approach has been commonly performed, recently some authors reported the retroperitoneal approach as a feasible and effective technique. 7,8 Gill et al . reported that retroperitoneoscopy offered several unique advantages, including expeditious access to the renal artery and vein allowing early ligation, extra fascial mobilization of the kidney and en bloc removal of the adrenal gland, recapitulating the principle of open surgery.…”

Section: Introductionmentioning

confidence: 99%

Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience

et al. 2002

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Objectives : To report our initial experience of hand-assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors. Methods : The clinical data on 22 consecutive patients who had undergone hand-assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7-7.5 cm incision using a LAP DISC.Results : The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 vs 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 vs 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients. Conclusion : Hand-assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.

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“…The ef®cacy of laparoscopic radical nephrectomy for renal cell cancers has been reported in several studies. Abbou et al [33] reported on patients undergoing laparoscopic or open radical nephrectomy (29 in each group). They reported a mean operative duration of 2.4 h for the laparoscopic and 2 h for the open group, a respective mean blood loss of 100 mL vs 285 mL and a mean hospital stay of 4.8 days and 9.7 days.…”

Section: Laparoscopic Radical Nephrectomymentioning

confidence: 99%