Laparoscopic nephrectomy: analysis of 34 patients
OBJECTIVE: To analyze the clinical experience of laparoscopic nephrectomy for benign and malignant diseases at a university hospital. METHODS: From February 2000 to March 2003, 34 patients (14 men and 20 women) underwent transperitoneal laparoscopic total nephrectomy at the Hospital das Clinicas – F...
| Autores: | , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2003 |
| País: | Brasil |
| Institución: | Universidade Federal de Mato Grosso do Sul (UFMS) |
| Repositorio: | Repositório Institucional da UFMS |
| Idioma: | inglés |
| OAI Identifier: | oai:repositorio.ufms.br:123456789/198 |
| Acceso en línea: | https://repositorio.ufms.br/handle/123456789/198 |
| Access Level: | acceso abierto |
| Palabra clave: | Nefrectomia Laparoscopia Nefropatias Nephrectomy Laparoscopy Kidney Diseases |
| Sumario: | OBJECTIVE: To analyze the clinical experience of laparoscopic nephrectomy for benign and malignant diseases at a university hospital. METHODS: From February 2000 to March 2003, 34 patients (14 men and 20 women) underwent transperitoneal laparoscopic total nephrectomy at the Hospital das Clinicas – FMRP-USP: 28 (82.3%) patients had benign diseases and 6 (17.7%) malignant neoplasias. Benign diseases were represented by: urinary stones (N-9, 32.1%), chronic pyelonephritis (N-8, 28.6%), vesicoureteral reflux (N-4, 14.3%), ureteropelvic obstruction (N-3, 10.7%), multicystic kidney (N-2, 7.1%) and pyonephrosis (N-2, 7.1%). Patients age range was 2-79 years (mean – 35,1 years). RESULTS: In 32/34 patients the procedures were accomplished successfully. In 2 (5.8%) cases of pyonephrosis, open conversion was necessary due to perinephric abscess and difficulties in dissection of renal hilum. Two patients had intraoperative complications (1 duodenum serous laceration an 1 vascular lesion of renal hilum), but both were managed laparoscopically. Two (5.8%) post operative complications (1 delayed bleeding and 1 pancreatic fistula) required open surgical exploration. The mean time of hospital stay was 58h (18 to 240h). CONCLUSION: Laparoscopic nephrectomy proved to be a method safe and associated with a low rate of morbidity, shorter hospital stay and no casualties. |
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