A Prospective, Randomized Comparative Study between Mini and Conventional Laparoscopic Nephrectomy

Maher M. A. Mohamed; Ahmed G. E. Abd El Raouf; Nasr E.; Ahmed Y. Abo Alsaad

Article Details

A Prospective, Randomized Comparative Study between Mini and Conventional Laparoscopic Nephrectomy

Authors:

Maher M. A. Mohamed | Ahmed G. E. Abd El Raouf | Nasr E. | Ahmed Y. Abo Alsaad

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 7, pp.4951-4955

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

128841

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: Renal cancer is the commonest renal tumor and is usually treated by radical nephrectomy. Development of laparoscopic surgery was associated with reduction of post-surgical complications and the invent of mini-laparoscopic devices proposed to be associated with marked reduction of postoperative complications. Objective: to compare between mini and conventional laparoscopic nephrectomy as regards perioperative complications. Patient and Methods: Eligible patients underwent transperitoneal conventional or minilaparoscopy (ML) or conventional laparoscopy depending on surgeon preference. Preoperatively, patients were evaluated by history and clinical examination, with routine Lab and radiological investigations. Both operative and postoperative data were collected and documented. Results: both groups were comparable as patient demographics, associated medical diseases, preoperative data or the type of nephrectomy. However, operative time was significantly shorter, while blood loss was significantly larger in conventional group. In addition, postoperative pain was significantly higher and duration of hospital stay was significantly longer in conventional group. Finally, total cosmoses score was statistically decreased in conventional group. Conclusion: Compared with mini-laparoscopy, conventional laparoscopy showed better intraoperative parameters as shorter operative time, blood loss and less need for conversion to open surgery. However, the overall complications were comparable for both groups.

Article Details

A Prospective, Randomized Comparative Study between Mini and Conventional Laparoscopic Nephrectomy

Authors:

Maher M. A. Mohamed | Ahmed G. E. Abd El Raouf | Nasr E. | Ahmed Y. Abo Alsaad

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 7, pp.4951-4955

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

128841

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

CANCER

KIDNEYS

NEPHRECTOMY

SURGICAL OPERATIONS

LAPAROSCOPY

Radical Nephrectomy

End Stage Renal Disease

Laparoscopic Nephrectomy

Conventional

Mini-Laparoscopy

Issues

Article Details

Authors: Maher M. A. Mohamed | Ahmed G. E. Abd El Raouf | Nasr E. | Ahmed Y. Abo Alsaad

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 7, pp.4951-4955

Document Type: Article

Publication Date: 7/2018

Document Language: English

Document ID (Org No.): 128841

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Maher M. A. Mohamed | Ahmed G. E. Abd El Raouf | Nasr E. | Ahmed Y. Abo Alsaad

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2018 Vol.72 Issue 7, pp.4951-4955

Document Type:

Article

Publication Date:

7/2018

Document Language:

English

Document ID (Org No.):

128841

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002