Initial Experience with Laparoscopic Nephrectomy at Services Hospital Lahore

Abstract

Introduction: Nephrectomy means removal of kidney. Laparoscopic nephrectomy is an effective way to remove a diseased or cancerous kidney. Nephrectomy is performed to treat malignant or benign tumors of the kidney and symptomatic non functioning kidney. Laparoscopic nephrectomy is performed through transperitoneal or retroperitoneal approach. Aims & Objectives: To determine the initial experience of laparoscopic nephrectomy. Place and duration of study: Department of Urology, Services Hospital, Lahore from 1st January 2018 to 30th June 2019. Material & Methods: A total of 50 patients who underwent laparoscopic nephrectomy were included. The demographic data like age, gender, site of operation, operative time, conversion rates, postoperative complications and postoperative hospital stay were recorded. Data was analyzed using SPSS 20.0 and reported as mean± s.d, frequencies and percentages. Results: There were 28 (56%) female patients and 22 (44%) male patients. Six (12%) patients were ages <25 years, 20 (40%) were ages 25 to 40 years, 18 (36%) were ages 41 to 55 years and 6 (12%) were ages above 55 years. Non-functional kidney due to stone disease was the most common indication 35 (70%). Mean operative time was 170.43+8.45 minutes. Conversion rate was in 1 (2%) patients. Mean hospital stay was 4.32+1.45 days. Conclusion: It is concluded from this study that laparoscopic nephrectomy is safe and better technique with very low rate of complications.

Initial experience of laparoscopic nephrectomy for nonfunctioning kidney in Recep Tayyip Erdogan Hospital, Muzaffargarh.

“…16,17 However, in the study by Farooq M et al, the majority of patients were females, with 56 percent being female and 44 percent being male. 1 In our study most common cause of nonfunctioning kidney was stone disease 22% followed by PUJO 22.50% which is almost similar to other studies but in our study 12.50% patient had small kidney and 10 % had grossly hydronephrotic kidney due to distal ureteric stone which is different from other studies. 9 The average hospital stay in our study was 3.15 days, with a 0.94-day standard deviation.…”

“…These findings were consistent with prior studies in that the right side was more frequently observed than the left. 1,13 In our study, there were 13 men and 27 women patients, or 67.5 percent of the total (32.5 percent). Regarding the results of laparoscopic nephrectomy, studies by Khan MM et al and Piyush Singhania et al reported that there were more male patients than female patients in both studies.…”

“…One of the most frequent procedures carried out by urologists is the nephrectomy. 1,2 In order to treat benign and malignant diseases, this method is used. 2 Chronic pyelonephritis, pelviureteric (PV) junction blockage, Hypertension (Reno Vascular), Renal T.B (tuberculosis) and pyelonephritis (emphysematous, xanthogranulomatous) are benign conditions.…”

Initial Experiences of Laparoscopic Nephrectomy in a Tertiary Oncology Center: An Analysis of 142 Cases

“…These techniques are known to show similar oncological results. Compared to open surgery, laparoscopic nephrectomy has less hospital stay, earlier return to daily life, and less painkiller use [ 4 ]. Although laparoscopic nephrectomy has a longer operation time compared to open nephrectomy in many studies, it is seen that the time decreases as experience increases [ 5 ].…”