Laparoscopic radical versus partial nephrectomy: Assessment of complications

Fernando J. Kim, KoonHo Rha, Fernando Hernandez, Thomas W. Jarrett, Peter A. Pinto, Louis R. Kavoussi

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Abstract

Purpose: We evaluated the short-term morbidity and complications of laparoscopic radical nephrectomy (LRN) compared with laparoscopic partial nephrectomy (LPN). Materials and Methods: From May 1998 to May 2002, 114 patients were identified with a single unilateral sporadic renal tumor and a normal contralateral kidney. These individuals had undergone LRN (35) or LPN (79). Results: The LRN and LPN groups were analyzed for age, sex, American Society of Anesthesiologists score and body mass index. Mean tumor size in patients undergoing LRN and LPN was 2.8 ± 1.2 (range 0.9 to 4.5) and 2.5 ± 1.0 cm (range 1 to 4.5), respectively (p = 0.17). There were no differences between the 2 groups in terms of mean hospital stay, blood transfusion or surgical complications. There was no difference in mean preoperative and postoperative serum creatinine in patients in the LPN group. Mean postoperative serum creatinine was significantly higher than the mean preoperative level in patients in the LRN group (1.51 ± 0.22 vs 1.18 ± 0.37 mg/ml, range 0.6 to 2.4, p = 0.02). In each group 1 case was converted to open surgery due to bleeding. Conclusions: LPN is associated with similar postoperative convalescence and complications compared with LRN. The increase in serum creatinine noted in patients undergoing radical extirpation supports the use of LPN when clinically indicated.

Original languageEnglish
Pages (from-to)408-411
Number of pages4
JournalJournal of Urology
Volume170
Issue number2 I
DOIs
Publication statusPublished - 2003 Aug 1

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Nephrectomy
Creatinine
Serum
Kidney
Blood Transfusion
Length of Stay
Neoplasms
Body Mass Index
Hemorrhage
Morbidity

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Kim, F. J., Rha, K., Hernandez, F., Jarrett, T. W., Pinto, P. A., & Kavoussi, L. R. (2003). Laparoscopic radical versus partial nephrectomy: Assessment of complications. Journal of Urology, 170(2 I), 408-411. https://doi.org/10.1097/01.ju.0000076017.26789.6a
Kim, Fernando J. ; Rha, KoonHo ; Hernandez, Fernando ; Jarrett, Thomas W. ; Pinto, Peter A. ; Kavoussi, Louis R. / Laparoscopic radical versus partial nephrectomy : Assessment of complications. In: Journal of Urology. 2003 ; Vol. 170, No. 2 I. pp. 408-411.
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Kim, FJ, Rha, K, Hernandez, F, Jarrett, TW, Pinto, PA & Kavoussi, LR 2003, 'Laparoscopic radical versus partial nephrectomy: Assessment of complications', Journal of Urology, vol. 170, no. 2 I, pp. 408-411. https://doi.org/10.1097/01.ju.0000076017.26789.6a

Laparoscopic radical versus partial nephrectomy : Assessment of complications. / Kim, Fernando J.; Rha, KoonHo; Hernandez, Fernando; Jarrett, Thomas W.; Pinto, Peter A.; Kavoussi, Louis R.

In: Journal of Urology, Vol. 170, No. 2 I, 01.08.2003, p. 408-411.

Research output: Contribution to journalArticle

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N2 - Purpose: We evaluated the short-term morbidity and complications of laparoscopic radical nephrectomy (LRN) compared with laparoscopic partial nephrectomy (LPN). Materials and Methods: From May 1998 to May 2002, 114 patients were identified with a single unilateral sporadic renal tumor and a normal contralateral kidney. These individuals had undergone LRN (35) or LPN (79). Results: The LRN and LPN groups were analyzed for age, sex, American Society of Anesthesiologists score and body mass index. Mean tumor size in patients undergoing LRN and LPN was 2.8 ± 1.2 (range 0.9 to 4.5) and 2.5 ± 1.0 cm (range 1 to 4.5), respectively (p = 0.17). There were no differences between the 2 groups in terms of mean hospital stay, blood transfusion or surgical complications. There was no difference in mean preoperative and postoperative serum creatinine in patients in the LPN group. Mean postoperative serum creatinine was significantly higher than the mean preoperative level in patients in the LRN group (1.51 ± 0.22 vs 1.18 ± 0.37 mg/ml, range 0.6 to 2.4, p = 0.02). In each group 1 case was converted to open surgery due to bleeding. Conclusions: LPN is associated with similar postoperative convalescence and complications compared with LRN. The increase in serum creatinine noted in patients undergoing radical extirpation supports the use of LPN when clinically indicated.

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