Direct Upper Kidney Pole Access and Early Ligation of Renal Pedicle Significantly Facilitates Transperitoneal Laparoscopic Nephrectomy Procedures: Tunc Technique

TUNÇ L., Canda A. E., POLAT F., ONARAN M., Atkin S., Biri H., ...Daha Fazla

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, cilt.21, sa.6, ss.453-457, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 6
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1097/sle.0b013e31823badc1
  • Dergi Adı: SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.453-457
  • Anahtar Kelimeler: transperitoneal laparoscopic nephrectomy, technical modification, operation time, experience, surgical outcomes, EN-BLOC LIGATION, RADICAL NEPHRECTOMY, CELL CARCINOMA, HILUM, NEPHROURETERECTOMY, SURGERY, ARTERY, COMPLICATIONS, ADVANTAGES
  • Gazi Üniversitesi Adresli: Evet

Özet

We modified our technique in transperitoneal laparoscopic nephrectomies and compared its results with the classical technique. Classical technique was performed in 85 cases (group 1). Modified technique (n = 98) included direct kidney upper pole access and early ligation of renal pedicle (group 2). No significant differences were detected regarding mean patient age, intraoperative blood loss, and duration of hospital stay between the 2 groups (P > 0.05). Mean operation time was 64.9 +/- 19.3 and 28.2 +/- 7.7 minutes, respectively in groups 1 and 2 (P = 0.001). Mean operation time including right nephrectomies was 68.7 +/- 23.4 and 24.2 +/- 6.3 minutes, respectively in groups 1 and 2 (P = 0.001). Mean operation time including left nephrectomies was 63.8 +/- 17.1 and 33.6 +/- 5.1 minutes, respectively in groups 1 and 2 (P = 0.001). Similarly, mean operation time was significantly shorter in group 2 when analysis was performed among right and left radical and simple nephrectomies between the 2 groups (P = 0.001). Direct upper kidney pole access and early ligation of renal pedicle seems to be significantly facilitating transperitoneal laparoscopic nephrectomy procedures.