Korean J Urol.  2003 Nov;44(11):1135-1139.

Comparison of Hand-assisted Laparoscopic Versus Retroperitoneo-scopic Radical Nephrectomy

• Kim SH
• Seo SI
• Hwang TK

Abstract

PURPOSE: We retrospectively compared our initial experience with the hand-assisted laparoscopic and retroperitoneoscopic radical nephrectomy for suspected renal cell carcinoma
MATERIALS AND METHODS
We reviewed 26 hand-assisted laparoscopic and 9 retroperitoneoscopic radical nephrectomies performed for suspected renal cell carcinoma from December 1999 to January 2003. All data were collected from medical records and by personal contacts.
RESULTS
Although days of oral intake was shorter in the retroperitoneoscopic radical nephrectomy than the hand-assisted laparoscopic radical nephrectomy(1.8 versus 2.3, p=0.027), the mean operative time, analgesics use, and postoperative stay for retroperitoneal group were not significantly different from the values of the hand-assisted group.
CONCLUSIONS
Retroperitoneoscopic radical nephrectomy offers shorter days of oral intake comparable to that of hand-assisted laparoscopy. However, no significant differences in operative time, analgesics use, and postoperative stay were noted. Therefore, we believe that both techniques produce similar surgical results. Further randomized studies are needed.

Keyword

Hand; Retroperitoneal space; Laparoscopy; Nephrectomy

MeSH Terms

Analgesics
Carcinoma, Renal Cell
Hand
Hand-Assisted Laparoscopy
Humans
Laparoscopy
Medical Records
Nephrectomy*
Operative Time
Retroperitoneal Space
Retrospective Studies
Analgesics