Initial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting.

Hdl Handle:
http://hdl.handle.net/10147/127435
Title:
Initial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting.
Authors:
Forde, J C; McGuire, B B; Lawson, M B; Power, R E
Affiliation:
Department of Urology, Beaumont Hospital, Dublin, Ireland.
Citation:
Initial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting. 2009, 7 (4):211-4 Surgeon
Journal:
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Issue Date:
Aug-2009
URI:
http://hdl.handle.net/10147/127435
PubMed ID:
19736887
Abstract:
Laparoscopic nephrectomy has gained widespread acceptance as a treatment for both benign and malignant conditions and is becoming increasingly popular in Irish hospitals. We report a single surgeon, single centre experience with 20 consecutive laparoscopic nephrectomies comparing them to 20 open cases performed prior to the establishment of a laparoscopic service.; A retrospective comparative analysis was carried out over an 18 month period. Transperitoneal approach was used in the laparoscopic group with renal vessels divided using an Endo GIA stapling device. Parameters examined included age, weight, indication, operative time, blood loss, tumour size, length of stay and analgesic requirements. Comparison was made with 20 open nephrectomies.; Mean age (p=0.26) and weight (p=0.08) were similar in both groups. Average tumour size was similar (4.98 cm [range 2.8-9] in laparoscopic group versus 6.4 cm [range 3-10], p=0.61). Mean operative blood loss was reduced in the laparoscopic group (65 ml (range 50-200) versus 351 ml (50-1740) (p=or<0.05 L.N. versus O.N.). Laparoscopic patients were discharged earlier; 3.9 days (range 3-6) versus 6.5 (range 5-11) postoperatively (p=or<0.05 L.N. versus O.N.). Analgesia requirements were reduced in terms of both total hours using PCA (25.05 hours [range 1-45] versus 41.6 hours (range 7-226)) (p=or<0.05 L.N. versus O.N.) and total morphine requirements (35.5 mg [range 2-94] versus 72.4 mg [range 18-113] [p=or<0.05 L.N. versus O.N.]). There were no complications in the laparoscopic group, while one patient developed an incisional hernia in the open group.; Laparoscopic nephrectomy is less invasive and demonstrates improved results in terms of analgesia, blood loss and reduced overall stay.
Item Type:
Article
Language:
en
MeSH:
Adult; Aged; Cohort Studies; Female; Humans; Ireland; Kidney Neoplasms; Laparoscopy; Male; Middle Aged; Nephrectomy; Retrospective Studies; Surgical Stapling; Treatment Outcome; Young Adult
ISSN:
1479-666X

Full metadata record

DC FieldValue Language
dc.contributor.authorForde, J Cen
dc.contributor.authorMcGuire, B Ben
dc.contributor.authorLawson, M Ben
dc.contributor.authorPower, R Een
dc.date.accessioned2011-04-06T14:00:03Z-
dc.date.available2011-04-06T14:00:03Z-
dc.date.issued2009-08-
dc.identifier.citationInitial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting. 2009, 7 (4):211-4 Surgeonen
dc.identifier.issn1479-666X-
dc.identifier.pmid19736887-
dc.identifier.urihttp://hdl.handle.net/10147/127435-
dc.description.abstractLaparoscopic nephrectomy has gained widespread acceptance as a treatment for both benign and malignant conditions and is becoming increasingly popular in Irish hospitals. We report a single surgeon, single centre experience with 20 consecutive laparoscopic nephrectomies comparing them to 20 open cases performed prior to the establishment of a laparoscopic service.-
dc.description.abstractA retrospective comparative analysis was carried out over an 18 month period. Transperitoneal approach was used in the laparoscopic group with renal vessels divided using an Endo GIA stapling device. Parameters examined included age, weight, indication, operative time, blood loss, tumour size, length of stay and analgesic requirements. Comparison was made with 20 open nephrectomies.-
dc.description.abstractMean age (p=0.26) and weight (p=0.08) were similar in both groups. Average tumour size was similar (4.98 cm [range 2.8-9] in laparoscopic group versus 6.4 cm [range 3-10], p=0.61). Mean operative blood loss was reduced in the laparoscopic group (65 ml (range 50-200) versus 351 ml (50-1740) (p=or<0.05 L.N. versus O.N.). Laparoscopic patients were discharged earlier; 3.9 days (range 3-6) versus 6.5 (range 5-11) postoperatively (p=or<0.05 L.N. versus O.N.). Analgesia requirements were reduced in terms of both total hours using PCA (25.05 hours [range 1-45] versus 41.6 hours (range 7-226)) (p=or<0.05 L.N. versus O.N.) and total morphine requirements (35.5 mg [range 2-94] versus 72.4 mg [range 18-113] [p=or<0.05 L.N. versus O.N.]). There were no complications in the laparoscopic group, while one patient developed an incisional hernia in the open group.-
dc.description.abstractLaparoscopic nephrectomy is less invasive and demonstrates improved results in terms of analgesia, blood loss and reduced overall stay.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshCohort Studies-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshKidney Neoplasms-
dc.subject.meshLaparoscopy-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNephrectomy-
dc.subject.meshRetrospective Studies-
dc.subject.meshSurgical Stapling-
dc.subject.meshTreatment Outcome-
dc.subject.meshYoung Adult-
dc.titleInitial experience with transperitoneal laparoscopic nephrectomy in an Irish hospital setting.en
dc.typeArticleen
dc.contributor.departmentDepartment of Urology, Beaumont Hospital, Dublin, Ireland.en
dc.identifier.journalThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Irelanden
dc.description.provinceLeinster-

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