Comparison of Hand-assisted Laparoscopic Versus Retroperitoneo-scopic Radical Nephrectomy.
- Author:
Sang Hoon KIM
1
;
Seong Il SEO
;
Tae Kon HWANG
Author Information
1. Department of Urology, The Catholic University of Korea Medical College, Seoul, Korea. tkhwang@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Hand;
Retroperitoneal space;
Laparoscopy;
Nephrectomy
- MeSH:
Analgesics;
Carcinoma, Renal Cell;
Hand;
Hand-Assisted Laparoscopy;
Humans;
Laparoscopy;
Medical Records;
Nephrectomy*;
Operative Time;
Retroperitoneal Space;
Retrospective Studies
- From:Korean Journal of Urology
2003;44(11):1135-1139
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We retrospectively compared our initial experience with the hand-assisted laparoscopic and retroperitoneoscopic radical nephrectomy for suspected renal cell carcinoma MATERIALS AND METHODS: We reviewed 26 hand-assisted laparoscopic and 9 retroperitoneoscopic radical nephrectomies performed for suspected renal cell carcinoma from December 1999 to January 2003. All data were collected from medical records and by personal contacts. RESULTS: Although days of oral intake was shorter in the retroperitoneoscopic radical nephrectomy than the hand-assisted laparoscopic radical nephrectomy(1.8 versus 2.3, p=0.027), the mean operative time, analgesics use, and postoperative stay for retroperitoneal group were not significantly different from the values of the hand-assisted group. CONCLUSIONS: Retroperitoneoscopic radical nephrectomy offers shorter days of oral intake comparable to that of hand-assisted laparoscopy. However, no significant differences in operative time, analgesics use, and postoperative stay were noted. Therefore, we believe that both techniques produce similar surgical results. Further randomized studies are needed.
