Format

Send to

Choose Destination
See comment in PubMed Commons below
JSLS. 2011 Apr-Jun;15(2):203-7. doi: 10.4293/108680811X13071180406556.

Hand-assisted laparoscopy confers equal efficacy in simple and radical nephrectomy.

Author information

  • 1Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53792-7375, USA.

Abstract

BACKGROUND AND OBJECTIVES:

To evaluate outcomes for simple hand-assisted laparoscopic nephrectomy (HALSN).

METHODS:

A retrospective chart review was performed at our institution for all patients who had undergone HALSN from January 2002 to January 2009. Thirty-three patients underwent HALSN during this time period and were matched with 33 patients who underwent radical handassisted laparoscopic nephrectomy (HALRN).

RESULTS:

Operative times were similar between both groups (301 vs 286 min for HALSN vs HALRN; P=.54). There were no intraoperative or postoperative transfusions in either group. There was one conversion to open nephrectomy in the HALSN group in a patient with xanthogranulomatous pyelonephritis and no conversions in the HALRN group. The mean opioid equivalence requirement was not statistically different between both groups (110 vs 120 for HALSN vs HALRN, P=.70). Mean hospital stay was similar for patients undergoing HALSN and HALRN (5.0±3.8 days vs 4.0±1.2 days, P=.63). There was 1 major complication in the HALSN group (pulmonary embolus) and no major complications in the HALRN group. Rates of minor complications were comparable between the 2 groups (18% vs 24% for HALSN vs HALRN).

CONCLUSIONS:

HALSN may be associated with similar operative times and length of postoperative hospital stay as well as comparable complication rates compared to HALRN.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk