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COMPLICATIONS OF LAPAROSCOPIC PARTIAL NEPHRECTOMY IN 200 CASES

2005; Lippincott Williams & Wilkins; Volume: 173; Issue: 1 Linguagem: Inglês

10.1097/01.ju.0000147177.20458.73

1527-3792

Anup P. Ramani, Mihir Desai, ANDREW P. STEINBERG, Christopher Ng, Sidney C. Abreu, Jihad Kaouk, Antonio Finelli, Andrew C. Novick, Inderbir S. Gill,

Genetic and Kidney Cyst Diseases

No AccessJournal of UrologyAdult Urology: Oncology: Renal/Upper Tract/Bladder1 Jan 2005COMPLICATIONS OF LAPAROSCOPIC PARTIAL NEPHRECTOMY IN 200 CASES ANUP P. RAMANI, MIHIR M. DESAI, ANDREW P. STEINBERG, CHRISTOPHER S. NG, SIDNEY C. ABREU, JIHAD H. KAOUK, ANTONIO FINELLI, ANDREW C. NOVICK, and INDERBIR S. GILL ANUP P. RAMANIANUP P. RAMANI , MIHIR M. DESAIMIHIR M. DESAI , ANDREW P. STEINBERGANDREW P. STEINBERG , CHRISTOPHER S. NGCHRISTOPHER S. NG , SIDNEY C. ABREUSIDNEY C. ABREU , JIHAD H. KAOUKJIHAD H. KAOUK , ANTONIO FINELLIANTONIO FINELLI , ANDREW C. NOVICKANDREW C. NOVICK , and INDERBIR S. GILLINDERBIR S. GILL View All Author Informationhttps://doi.org/10.1097/01.ju.0000147177.20458.73AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We analyzed complications of the initial 200 cases treated with laparoscopic partial nephrectomy for a suspected renal tumor. Materials and Methods: Since August 1999, 200 consecutive patients have undergone laparoscopic partial nephrectomy. Mean patient age was 61.6 years, mean body mass index was 29.9 and mean tumor size was 2.9 cm (range 1 to 10). There were 51 central tumors (25%) and 15 solitary kidneys (7.5%). A central tumor was defined as any tumor infiltrating up to the collecting system or renal sinus, during the excision of which entry into and repair of the collecting system was necessary. Mean estimated blood loss was 247 cc and mean operative time was 3.3 hours. Data on complications were obtained from a prospectively maintained computerized database and via telephone calls to patients and/or local referring physicians. Results: A total of 66 patients (33%) had 1 or more complications, which were intraoperative in 11 (5.5%), postoperative in 24 (12%) and delayed in 31 (15.5%). Overall 30 patients (15%) had a nonurological complication and 36 (18%) had a urological complication, including hemorrhage in 19 (9.5%) and urine leakage in 9 (4.5%). Hemorrhage occurred intraoperatively in 7 cases (3.5%) and postoperatively in 4 (2%), while it was delayed in 8 (4%). Of patients with urine leakage none required reoperation, 6 (3%) required a Double-J stent (Medical Engineering Corp., New York, New York) only, 2 (1%) required a Double-J stent with computerized tomography guided drainage and 1 required no treatment. Open conversion was necessary in 2 patients (1%), reoperation was done in 4 (2%) and elective laparoscopic radical nephrectomy was performed in 1 (0.5%). Conclusions: Laparoscopic partial nephrectomy is an advanced procedure with potential for complications. It requires considerable experience with reconstructive laparoscopy. References 1 : Nephron sparing surgery for renal tumors: indications, techniques and outcomes. J Urol2001; 166: 6. 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Volume 173Issue 1January 2005Page: 42-47 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordscomplicationskidneykidney neoplasmslaparoscopynephrectomyMetricsAuthor Information ANUP P. RAMANI More articles by this author MIHIR M. DESAI More articles by this author ANDREW P. STEINBERG More articles by this author CHRISTOPHER S. NG More articles by this author SIDNEY C. ABREU More articles by this author JIHAD H. KAOUK More articles by this author ANTONIO FINELLI More articles by this author ANDREW C. NOVICK More articles by this author INDERBIR S. GILL More articles by this author Expand All Advertisement PDF downloadLoading ...