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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2021, Number 1

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An Med Asoc Med Hosp ABC 2021; 66 (1)

Laparoscopic nephrectomy: experience in the ABC Medical Center, Mexico

Vásquez-Lastra C, Castro GA, Cisneros MB, Lomelín RJP, Vitar SJ, Contreras EA, Osornio VC

Language: Spanish
References: 30
Page: 36-41
PDF size: 239.78 Kb.


ABSTRACT

Introduction: Laparoscopic nephrectomy is currently considered as the preferred option over open surgery in select cases due to its low morbidity, risk and overall patient satisfaction. Objective: To present our experience in benign and oncologic laparoscopic nephrectomy, analyzing operative and postoperative characteristics of the population studied. Material and methods: From January 2006 to January 2020 a total of 110 patients were treated with laparoscopic nephrectomy. Surgical time, intraoperative bleeding, hospital stay and complications were documented. Results: Radical nephrectomy was performed in 67 (61%) patients, nephroureterectomy in 22 (20%) and simple nephrectomy in 21 (19%). Tumor size was 6.4 cm (range 2.7-12 cm). Bleeding was 103 mL (range 10-2,000 mL) and length of stay was 2.7 days. Only one case of reintervention was recorded due to postoperative bleeding that was resolved laparoscopically. Conclusions: Renal laparoscopic surgery is currently the gold standard for localized renal tumors, urothelial carcinomas, simple nephrectomies and reconstructive procedures. Cosmetic results along with a fast recovery and good oncologic control make it the procedure of choice for kidney surgery.


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EVIDENCE LEVEL

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