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- W2366104388 abstract "Objective:To investigate the feasibility of laparoscopic nephrectomy for benign nonfunctioning kidneys by comparing the clinical outcomes versus open surgery.Methods:Eighty-five cases underwent simple nephrectomy from August 1997 to October 2007 in our hospital.Laparoscopic simple nephrectomy(LSN)was performed for 32 cases(23 lateralperitoneal approach and 9 retroperitoneal approach,and 53 cases of benign nonfunctioning kidneys underwent open nephrectomy during the same period.Clinical data including the operative time,intraoperative blood loss,postoperative drainage volume,postoperative intestinal function recovery time,postoperative ambulation time,use of antalgesic,postoperative hospital stay and total cost of hospitalization were recorded and compared between the two groups.Results:All of the operations were successfully performed.There were no severe peri-or postoperative complications that could be related to the operations.In no instance did the laparoscopic procedure need to be converted to open surgery.The intraoperative blood loss,postoperative drainage volume,postoperative intestinal function recovery time,postoperative ambulation time,postoperative hospital stay and use of antalgesic in the LSN group were significantly less than those in the open group(P0.05),while the operative time and the total cost of hospitalization were more than those in the open group(P0.05).Conclusions:LSN has advantages over open nephrectomy,namely a smaller wound,less blood loss,more rapid recovery and so on.These benefits outweigh the longer operative time and the higher hospital charges associated with the laparoscopic approach.It may provide a safe and effective method for resecting benign nonfunctioning kidneys.With the accumulation of experience and the development of laparoscopic techniques,the operative time and hospitalization cost in most LSN cases can be equal to open operations." @default.
- W2366104388 created "2016-06-24" @default.
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- W2366104388 date "2009-01-01" @default.
- W2366104388 modified "2023-09-23" @default.
- W2366104388 title "A comparative study of laparoscopic and open nephrectomy" @default.
- W2366104388 hasPublicationYear "2009" @default.
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