Laparoszkopos nephrectomia - Tiz mutet kezdeti tapasztalatai

Translated title of the contribution: Laparoscopic nephrectomy - Initial experience of ten cases

E. Holman, A. A. Alkalissy, M. Salah, S. Abdulkader

Research output: Contribution to journalArticle

Abstract

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.

Original languageHungarian
Pages (from-to)358-363
Number of pages6
JournalLege Artis Medicinae
Volume8
Issue number5
Publication statusPublished - 1998

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Nephrectomy
Kidney
Length of Stay
Nephrosclerosis
Conversion to Open Surgery
Insufflation
Hydronephrosis
Ureter
Operative Time
Carbon Dioxide
Cicatrix
Colon

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Laparoszkopos nephrectomia - Tiz mutet kezdeti tapasztalatai. / Holman, E.; Alkalissy, A. A.; Salah, M.; Abdulkader, S.

In: Lege Artis Medicinae, Vol. 8, No. 5, 1998, p. 358-363.

Research output: Contribution to journalArticle

Holman, E, Alkalissy, AA, Salah, M & Abdulkader, S 1998, 'Laparoszkopos nephrectomia - Tiz mutet kezdeti tapasztalatai', Lege Artis Medicinae, vol. 8, no. 5, pp. 358-363.
Holman, E. ; Alkalissy, A. A. ; Salah, M. ; Abdulkader, S. / Laparoszkopos nephrectomia - Tiz mutet kezdeti tapasztalatai. In: Lege Artis Medicinae. 1998 ; Vol. 8, No. 5. pp. 358-363.
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