Laparoscopic Versus Open Transperitoneal Nephrectomy for the Treatment of Giant Hydronephrosis

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Laparoscopic Versus Open Transperitoneal Nephrectomy for the Treatment of Giant Hydronephrosis

Journal Title: Journal of Urological Surgery - Year 2020, Vol 58, Issue 4

Abstract

Objective: To assess the effectiveness of laparoscopic transperitoneal nephrectomy in the treatment of patients with giant hydronephrosis and to compare the results with open nephrectomy. Materials and Methods: We reviewed the data of 19 patients underwent laparoscopic (laparoscopic group, n=8) and open (open group, n=11) transperitoneal nephrectomy for giant hydronephrosis between January 2008 and 2018. Demographic characteristics, clinical, laboratory and radiological findings of cases were examined. Perioperative and postoperative outcomes were reported. Mann-Whitney U and Fisher’s Exact tests were used in the statistical analysis. Results: The mean operation time was 112.5±19.1 (90-140) minutes and 107.2±19.1 (80-140) minutes, respectively, for the laparoscopic and open groups (p=0.546). The mean hospitalization period was 3.5 (3-7) and 6 (5-8) days, respectively, for the laparoscopic and open approach (p=0.003). No major complications during the perioperative period were observed in any of the patients. The mean follow-up periods were 36 (6-60) and 70 (39-80) months, respectively, for the laparoscopic and open groups (p=0.000). Conclusion: Laparoscopic transperitoneal nephrectomy appears to be equally effective to the open approach with a shorter hospitalization period for the treatment of giant hydronephrosis. It may be offered as a safe and acceptable model of treatment for patients presenting with giant hydronephrosis.

Authors and Affiliations

Çetin Demirdağ, Sinharib Çitgez

Keywords

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EP ID EP691527
DOI 10.4274/jus.galenos.2020.3279
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