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2004, Number 1

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Rev Mex Cir Endoscop 2004; 5 (1)

One year of laparoscopic nephrectomy. (52 cases)

Marquina SM, Esquivel PP

Language: Spanish
References: 42
Page: 38-43
PDF size: 74.65 Kb.


ABSTRACT

The laparoscopic nephrectomy is coming in the technique choice in the first world because has advantage with less pain and soon recovery, however in our country it is not for this way. We present our experience with this technique in one year. Since August 2002 until February 2004 we did 53 laparoscopic nephrectomy, 46 hand assistant, 40 were living kidney donor and 6 for other causes and 7 without hand assistant, 3 transperitoneal and 4 retroperitoneal. We did four groups. Group 1: Hand assistant laparoscopic nephrectomy by living kidney donor 40 cases. Group 2: Hand assistant laparoscopic nephrectomy 6 cases. Group 3: Transperitoneal laparoscopic nephrectomy 3 cases. Group 4: Retroperitoneal laparoscopic nephrectomy 4 cases. In the group two the parameters of the age, bleeding, operative time, hospitality time and recovery were greater. The best results were in the group three. In the group one, the most numerous, the rate age was 30 years, the sex female was more frequently than male (22/18), operative time 130 min, bleeding 200 milliliters, hospitality time 28 hours, conversion to open surgery was one case, reexplorations one case, the narcotics do were not used, in 70% of the cases had symptoms of digestive dysfunctions and the recovery was of 20 days. Other dates no comparatives with the others groups (2, 3 y 4) were warm ischemia 4 minutes and diuresis more than 200 milliliters in the first hour of the transplantation kidney. Conclusion: the hand assistant laparoscopic nephrectomy is a good way to begin the laparoscopic technique and then we can to do the surgery without the hand assistant.


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