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Organo Oficial de la Sociedad Mexicana de Urología

2011, Number 6

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Rev Mex Urol 2011; 71 (6)

Nefrectomía radical laparoscópica en el Instituto Nacional de Cancerología

Solares-Sánchez ME, Martínez-Cervera PF, Jiménez-Rios MÁ

Language: Spanish
References: 25
Page: 338-344
PDF size: 426.40 Kb.


ABSTRACT

Objective: To analyze laparoscopic radical nephrectomy results at the Instituto Nacional de Cancerología de México.
Methods: Retrospective study carried out from October 2006 to May 2010.
Results: Twenty-six patients (fourteen women and twelve men) with a mean age of 58.2 years (24-84 year range) were operated on. Mean tumor size by imaging study was 6.8 cm (2.5-10 cm range). Fifteen right nephrectomies and 11 left nephrectomies were performed. Mean tumor size by pathology was 5.8 cm (2-9.7 cm range), mean surgery duration was 176.7 minutes (110-300 min. range), mean calculated blood loss was 365.3 cc. (20-2300 mL range), mean hospital stay was 3.1 days (2-17 day range), and mean follow-up time was 19.5 months (0-43 month range). No patient developed recurrence at port opening level.
Conclusions: Laparoscopic radical nephrectomy is a safe and reproducible technique that offers the patient faster recovery. Indication for this procedure is individual and takes into account patient characteristics, clinical stage of tumor, surgeon’s training, and hospital resources.


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