Revista chilena de cirugía
versión On-line ISSN 0718-4026
KERKEBE L, Marcelo et al. Laparoscopic radical nephrectomy for renal cell carcinoma: Report of 50 cases. Rev Chil Cir [online]. 2006, vol.58, n.2, pp. 127-132. ISSN 0718-4026. doi: 10.4067/S0718-40262006000200009.
Background: The minimally invasive laparoscopic radical nephrectomy has several benefits over the open procedure. Aim: To report the experience with 50 laparoscopic radical nephrectomies. Material and methods: Prospective analysis of the first 50 laparoscopic nephrectomies, performed between July 2001 and August 2004 in patients with renal cell carcinoma. Operative time and intraoperative bleeding was assessed by the anesthesiologist. Results: The age range of patients was 40 to 78 years and 37 were male. The size of tumors on CAT scan ranged from 1.8 to 10 cm Twenty four procedures were on the right side and the rest on the left. Thirty five procedures were totally laparoscopic and in 15, manual assistance through an incision in the costovertebral angle, was required. Operative time ranged from 45 to 300 min and intraoperative bleeding ranged from 20 to 2000 ml. Four patients required blood transfusion. Three patients had minor complications (two hematomas in the puncture site and one prolonged ileus). The conversion rate was 2% and mean hospital stay was 2.7 days. Conclusions: Laparoscopic radical nephrectomy has a low rate of complications and requires a shorter hospital stay
Palabras clave : Radical nephrectomy; renal cell tumors; laparoscopic surgery.