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소절개창을 통한 영상보조 근치적 신절제술 : 복강경하 및 개복하 근치적 신절제술과의 비교

Other Titles
 A Comparison of Open, Laparoscopic, and Video-Assisted Minilaparotomy Radical Nephrectomy 
 오철규  ;  나군호  ;  양승철 
 KOREAN JOURNAL OF UROLOGY, Vol.46(9) : 925-930, 2005 
Journal Title
Issue Date
Nephrectomy ; Laparoscopy ; Minilaparotomy ; Video-assisted surgery
Nephrectomy ; Laparoscopy ; Minilaparotomy ; Video-assisted surgery
Purpose: We have retrospectively compared the surgical outcomes of 2 forms of minimal invasive surgery for the surgical treatment of renal cell carcinoma, the laparoscopic and video-assisted minilaparotomy (VAM) surgery, with the conventional open technique in performing a radical nephrectomy. Materials and Methods: Data from patients who underwent laparoscopic (n=14), VAM (n=15), and open (n=15) radical nephrectomies for renal cell carcinoma were reviewed. Laparoscopic radical nephrectomy was performed transperitoneally and VAM radical nephrectomy was performed using specially devised retractors such as piercing abdominal wall elevator and with endoscopic view using a telescope. Results: There were no significant differences among three groups undergoing laparoscopic, VAM, and open radical nephrectomies in terms of mean operative times (161 vs 160 vs 158 minutes, respectively). Time to oral intake, postoperative length of stay, amount of analgesics consumed for laparoscopic and VAM groups were not significantly different. However, these two groups significantly different from those of the open group. Complications included 1 transfusion and 1 paralytic ileus in the laparoscopic group, 1 transfusion in the VAM group, 2 transfusions and 2 paralytic ileus in the open group. Conclusions: Laparoscopic and VAM radical nephrectomy are associated with significantly less postoperative morbidity, time to oral intake, time to return to daily activity, postoperative length of hospital stay, and amount of analgesics consumed compared to conventional open radical nephrectomy. Therefore, in minimally invasive treatment of renal cell carcinoma, similar surgical outcomes can be expected whether purely laparoscopic or VAM technique for radical nephrectomy is adopted. Further prospective randomized studies are warranted.
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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
Yang, Seung Choul(양승철)
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