- 作者：Jihè ; ne El Kafsia ; jihene@cantab.net ; Mark Sullivana ; Mark.sullivan@orh.nhs.uk ; Adam Jonesb ; Adam.jones@royalberkshire.nhs.uk
- 关键词：LSN ; laparoscopic simple nephrectomy ; LRN ; laparoscopic radical nephrectomy ; RP ; retroperitoneal ; TP ; transperitoneal ; PUJ ; pelvi-ureteric junction ; PCNL ; percutaneous nephrolithotomy ; CAPD ; continuous ambulatory peritoneal dialysis ; SILS ; single incision
- 刊名：British Journal of Medical and Surgical Urology
- 出版年：2012
- 期刊代码：pca77_18759742
- 类别：med
- 出版时间：July, 2012
- 卷：5
- 期：4
- 页码：174-178
- 文件大小：305 K
Summary
Objective
A review of our experience in laparoscopic simple nephrectomies from May 2003 to May 2011 in the Urology Departments in Oxford and Reading.Method
A total of 100 patients, median age 46 years (IQR = 27, range 17-82) underwent a laparoscopic simple nephrectomy for benign disease in the 8-year period reviewed. Data on patient demographics, pre-operative diagnosis, operating time, operative approach, estimated blood loss, in hospital post-operative complications and length of stay were collected from electronic databases held in the departments and regularly updated.
Results
100 laparoscopic simple nephrectomies were performed between May 2003 and May 2011. Median operating time was 180 min (IQR = 60 min, range 75-375 min). Median estimated blood loss was 50 ml (IQR = 50 ml, range 10-1000 ml). Median length of stay was 3 days (IQR = 3, range 2-14 days). No patients suffered from significant changes in renal function. Three patients were transfused between 2 and 3 units. 26 complications were recorded for 22 patients. Four were Clavien grade IIIb and 22 were grades I-II.
Conclusion
Although laparoscopic simple nephrectomy is feasible and confers the usual benefits of laparoscopy it is often a technically challenging procedure. We used the Clavien Classification to standardise complications of laparoscopic simple nephrectomies. The term 鈥渟imple鈥?nephrectomy is misleading and should be changed.