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- Title
Results of laparoscopic resection of kidney tumor in everyday clinical practice.
- Authors
Hora, Milan; Eret, Viktor; Ürge, Tomáš; Stránský, Petr; Klečka, Jiří; Hes, Ondřej; Michal, Michal; Chudáček, Zdeněk; Ferda, Jiří
- Abstract
Introduction. Laparoscopic resection (LR) of kidney tumours is still under evolution. However laparoscopic "centres of excellence" (high volume centres) have published relatively good results of LRs. We would like to show the possibility of applying this technique in everyday clinical practise. Material and methods. The results of a group of 62 LR performed 2004 - 2008 was compared with 62 open resections (OR) and the first half of 31 LR was compared with the other half. Results. LR constitutes 9.4% of procedures for kidney tumors and 25.9% of resections at our institution. The results of OR vs. LR were the following: ischemia time (13.2 vs. 19.1 min, p <0.01), hospital stay (8.4 vs. 7.7 days, p = 0.078), and complications (12.9 vs. 27.4%, p = 0.720). Comparison of former LR and latter LR: operation time (124.5 vs. 99.5 min p = 0.023), ischemia time (23.1 vs. 13.8 min, p <0.01), hospital stay (8.1 vs. 5.6 days, p <0.01), and complications (32.3% vs. 22.6%, p = 0.384). Conclusions. LR have a higher ischemia time and complications than OR. Values decrease with the number of operations, however values remain better overall with OR. We recommend LR, nevertheless only in highly selected cases with respect to the dexterity of the individual surgeon. OR remain the gold standard in nephron sparing surgery.
- Subjects
LAPAROSCOPIC surgery; KIDNEY tumors; SURGICAL excision; KIDNEY diseases; ISCHEMIA
- Publication
Central European Journal of Urology, 2009, Vol 62, Issue 3, p160
- ISSN
0500-7208
- Publication type
Article
- DOI
10.5173/ceju.2009.03.art6