Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results
Título del documento: Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000296941
ISSN: 1677-5538
Autors: 1
Institucions: 1University of Nebraska, Department of Surgery, Omaha, Nebraska. Estados Unidos de América
Any:
Període: Ene-Feb
Volum: 32
Número: 1
Paginació: 15-22
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés PURPOSE: Radical nephrectomy can be performed using open or laparoscopic (with or without hand assistance) methods, and most recently using the da Vinci Surgical Robotic System. We evaluated the perioperative outcomes using a contemporary cohort of patients undergoing radical nephrectomy by one of the above 4 methods performed by the same surgeon. MATERIALS AND METHODS: The relevant clinical information on 57 consecutive patients undergoing radical nephrectomy from September 2000 until July 2004 by a single surgeon was entered in a Microsoft Access DatabaseTM and queried. Following appropriate statistical analysis, p values < 0.05 were considered significant. RESULTS: Of 57 patients, the open, robotic, laparoscopy with or without hand assistance radical nephrectomy were performed in 18, 6, 21, and 12 patients, respectively. The age, sex, body mass index (BMI), incidence of malignancy, specimen and tumor size, tumor stage, Fuhrman grade, hospital stay, change in postoperative creatinine, drop in hemoglobin, and perioperative complications were not significantly different between the methods. While the estimated median blood loss, postoperative narcotic use for pain control, and hospital stay were significantly higher in the open surgery method (p < 0.05), the median operative time was significantly shorter compared to the robotic method (p = 0.02). Operating room costs were significantly higher in the robotic and laparoscopic groups; however, there was no significant difference in total hospital costs between the 4 groups. CON
Disciplines Medicina
Paraules clau: Cirugía,
Oncología,
Neoplasias,
Riñones,
Nefrectomía,
Laparoscopia,
Robótica,
Técnicas quirúrgicas
Keyword: Medicine,
Oncology,
Surgery,
Neoplasms,
Kidneys,
Nephrectomy,
Laparoscopy,
Robotics,
Surgical techniques
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