INTRODUCTION - Laparoscopic nephrectomy is still one of the most difficult laparoscopic procedures. The authors present their initial experience with transperitoneal laparoscopic nephrectomy. PATIENTS AND METHOD - Since May, 1995, 10 laparoscopic nephrectomies have been performed, the indication was nephrosclerosis in 8, hydronephrosis in 2 cases. The operation was carried out in a kidney-position, 4 laparoscopic ports were used. After the mobilisation of the colon, the ureter and the hilar vessels were dissected, clipped and cut. The completely mobilised kidneys were removed intact through a 2-2.5 cm lengthened laparoscopic port incision. The fluid from the hydronephrotic kidneys were sucked out before the removal. RESULTS - All the operations were successful, conversion to an open procedure was not needed, severe complications were not observed. The average operating time was 2 hours, the average hospital stay was 4.5 days, the patients' previous usual activity could be continued after 2 weeks. CONCLUSION - On the basis of initial experience, laparoscopic nephrectomy is considered an advantageous method for the patients in benign renal disease cases. The increased intraoperative stress - originated mostly from the carbon-dioxide insufflation and the prolonged operative time - is compensated by the advantages of the laparoscopic operation: shorter hospital stay, faster complete recovery, no deformating and disturbing scars.
|Translated title of the contribution||Laparoscopic nephrectomy - Initial experience of ten cases|
|Number of pages||6|
|Journal||Lege Artis Medicinae|
|Publication status||Published - Jul 8 1998|
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