Comparison of laparoscopic and open nephroureterectomy for benign disease

被引:37
作者
Doehn, C [1 ]
Fornara, P
Fricke, L
Jocham, D
机构
[1] Univ Lubeck, Dept Urol, D-2400 Lubeck, Germany
[2] Univ Lubeck, Dept Internal Med, D-2400 Lubeck, Germany
关键词
laparoscopy; vesico-ureteral reflux; pyelonephritis analgesics;
D O I
10.1016/S0022-5347(01)63713-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We report our experience with laparoscopic nephroureterectomy for benign disease and compare the results to a contemporary group of patients undergoing open nephroureterectomy. Materials and Methods: Between October 1994 and March 1997, 12 women and 4 men with a mean age of 50 years (range 22 to 70) underwent laparoscopic nephroureterectomy at our hospital. Indications for operation were nonfunctioning kidneys due to vesicoureteral reflux with recurrent episodes of pyelonephritis or analgesic nephropathy before a planned renal transplantation. In comparison 11 women and 4 men with a mean age of 40 years (range 18 to 64) underwent open nephroureterectomy for various benign diseases. Results: Laparoscopic and open nephroureterectomy had no significant differences regarding operative times (100 versus 124 minutes) and complication rates (25 versus 20%). In the laparoscopy group conversion to open surgery was not necessary. Patients who underwent laparoscopic nephroureterectomy had significantly less consumption of morphine equivalent for postoperative pain control (12 versus 40 mg.), shorter time to achieve mobilization and oral intake (11 versus 39 hours), shorter hospital stay (6 versus 12.7 days) and faster return to normal activities (21 versus 39 days). Conclusions: Laparoscopic nephroureterectomy in patients with benign disease has similar operative results but obvious postoperative advantages compared to the open approach.
引用
收藏
页码:732 / 734
页数:3
相关论文
共 15 条
[1]  
Clayman R V, 1991, J Laparoendosc Surg, V1, P343, DOI 10.1089/lps.1991.1.343
[2]   LAPAROSCOPIC RENAL SURGERY IN CHILDREN [J].
EHRLICH, RM ;
GERSHMAN, A ;
FUCHS, G .
JOURNAL OF UROLOGY, 1994, 151 (03) :735-739
[3]   LAPAROSCOPIC NEPHROURETERECTOMY IN THE CHILD - INITIAL CASE-REPORT [J].
FIGENSHAU, RS ;
CLAYMAN, RV ;
KERBL, K ;
MCDOUGALL, EM ;
COLBERG, JW .
JOURNAL OF UROLOGY, 1994, 151 (03) :740-741
[4]   Laparoscopic bilateral nephrectomy: Results in 11 renal transplant patients [J].
Fornara, P ;
Doehn, C ;
Fricke, L ;
Durek, C ;
Thyssen, G ;
Jocham, D .
JOURNAL OF UROLOGY, 1997, 157 (02) :445-449
[5]   Laparoscopy in renal transplant patients [J].
Fornara, P ;
Doehn, C ;
Fricke, L ;
Hoyer, J ;
Jocham, D .
UROLOGY, 1997, 49 (04) :521-527
[6]   INITIAL EXPERIENCE WITH RETROPERITONEOSCOPIC NEPHROURETERECTOMY - USE OF A DOUBLE-BALLOON TECHNIQUE [J].
GILL, IS ;
MUNCH, LC ;
LUCAS, BA ;
DAS, S .
UROLOGY, 1995, 46 (05) :747-750
[7]  
KERBL K, 1993, EUR UROL, V23, P431
[8]   TRANSPERITONEAL NEPHRECTOMY FOR BENIGN DISEASE OF THE KIDNEY - A COMPARISON OF LAPAROSCOPIC AND OPEN SURGICAL TECHNIQUES [J].
KERBL, K ;
CLAYMAN, RV ;
MCDOUGALL, EM ;
GILL, IS ;
WILSON, BS ;
CHANDHOKE, PS ;
ALBALA, DM ;
KAVOUSSI, LR .
UROLOGY, 1994, 43 (05) :607-613
[9]   LAPAROSCOPIC NEPHRECTOMY AND NEPHROURETERECTOMY IN THE OCTOGENARIAN WITH A RENAL TUMOR [J].
MCDOUGALL, EM ;
CLAYMAN, RV .
JOURNAL OF LAPAROENDOSCOPIC SURGERY, 1994, 4 (03) :233-236
[10]   LAPAROSCOPIC NEPHROURETERECTOMY FOR UPPER TRACT TRANSITIONAL-CELL CANCER - THE WASHINGTON-UNIVERSITY EXPERIENCE [J].
MCDOUGALL, EM ;
CLAYMAN, RV ;
ELASHRY, O .
JOURNAL OF UROLOGY, 1995, 154 (03) :975-979