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Laparoscopic Radical versus Partial Nephrectomy: Assessment of Complications

Authors
 FERNANDO J. KIM  ;  KOON H. RHA  ;  LOUIS R. KAVOUSSI  ;  PETER A. PINTO  ;  THOMAS W. JARRETT  ;  FERNANDO HERNANDEZ 
Citation
 JOURNAL OF UROLOGY, Vol.170(2Pt.1) : 408-412, 2003 
Journal Title
 JOURNAL OF UROLOGY 
ISSN
 0022-5347 
Issue Date
2003
MeSH
Adult ; Aged ; Aged, 80 and over ; Carcinoma, Renal Cell/surgery* ; Female ; Humans ; Kidney Neoplasms/surgery* ; Laparoscopy/adverse effects* ; Middle Aged ; Nephrectomy/adverse effects* ; Nephrectomy/methods ; Postoperative Complications ; Retrospective Studies
Keywords
kidney ; laparoscopy ; nephrectomy ; carcinoma, renal cell
Abstract
PURPOSE: We evaluated the short-term morbidity and complications of laparoscopic radical nephrectomy (LRN) compared with laparoscopic partial nephrectomy (LPN). MATERIALS AND METHODS: From May 1998 to May 2002, 114 patients were identified with a single unilateral sporadic renal tumor and a normal contralateral kidney. These individuals had undergone LRN (35) or LPN (79). RESULTS: The LRN and LPN groups were analyzed for age, sex, American Society of Anesthesiologists score and body mass index. Mean tumor size in patients undergoing LRN and LPN was 2.8 +/- 1.2 (range 0.9 to 4.5) and 2.5 +/- 1.0 cm (range 1 to 4.5), respectively (p = 0.17). There were no differences between the 2 groups in terms of mean hospital stay, blood transfusion or surgical complications. There was no difference in mean preoperative and postoperative serum creatinine in patients in the LPN group. Mean postoperative serum creatinine was significantly higher than the mean preoperative level in patients in the LRN group (1.51 +/- 0.22 vs 1.18 +/- 0.37 mg/ml, range 0.6 to 2.4, p = 0.02). In each group 1 case was converted to open surgery due to bleeding. CONCLUSIONS: LPN is associated with similar postoperative convalescence and complications compared with LRN. The increase in serum creatinine noted in patients undergoing radical extirpation supports the use of LPN when clinically indicated.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022534705633381
DOI
10.1097/01.ju.0000076017.26789.6a
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114354
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