Nonrandomized Comparison of Open Flank versus Laparoscopic Nephrectomy in 249 Patients with Benign Renal Disease

Laparoscopic nephrectomy: analysis of 34 patients

“…Our data showed a mean operating time of 240 minutes which is similar to that seen in some reports 2,3 but longer than others that refer lower means as 90 minutes 6 . It is worth while to mention that most procedures of our series were performed by medical residents.…”

“…The mean hospital stay of 58h reflects the low morbidity of the method and is in accordance with the literature 2,3,6,7 .…”

“…Laparoscopic nephrectomy allows better esthetic results, lower morbidity, lesser postoperative pain, shorter hospital stay and faster return to normal activities than open surgery 6,7 . A longer learning curve and a higher cost of equipment that represent an apparent disadvantage of laparoscopic surgery is counterbalanced by the aforementioned advantages which compares favorably to open surgery 8 .…”

Port-Site Metastases: Fact or Fiction?

“…For example, Wang (1997) and Zajjan (1998) reported on a total of 19 cases of metastases in the abdominal wall at the port incision site following laparoscopically assisted vaginal hysterectomy. With this intervention, which was performed exclusively as a vaginal procedure, the umbilical port incision site was only used for inserting the fiber-optic video camera, so that the instrument could not have come into contact with the tumor-bearing organ or with any other instrument that came into contact with the organ [12].…”

Transperitoneal laparoscopic nephrectomy of giant hydronephrotic kidney secondary to ureteropelvic stenosis

“…The most common benign kidney pathologies requiring nephrectomy are symptomatic hydronephrosis, advanced renal dysfunction due to UPRS, atrophic kidney due to renal and ureteral stones, polycystic kidney disease, infections and renal trauma. [3,4] Uretero-pelvic region stenosis defines the clinical condition of obstructed urine flow from the renal pelvis to the proximal ureter and the resultant potential collecting system enlargement and kidney damage. UPRS restricts urinary passage from the renal pelvis to the ureter and causes progressive renal failure if left untreated.…”