Laparoscopic Partial Nephrectomy: Is It Worth Still Performing the Retroperitoneal Route?

Autor: Idir Ouzaid, Evanguelos Xylinas, Géraldine Pignot, Arnaud Tardieu, Andras Hoznek, Clément-Claude Abbou, Alexandre de la Taille, Laurent Salomon
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Advances in Urology, Vol 2012 (2012)
Druh dokumentu: article
ISSN: 1687-6369
1687-6377
DOI: 10.1155/2012/473457
Popis: Objective. The objective of this study was to compare perioperative, oncologic, and functional outcomes of TLPN (transperitoneal laparoscopic partial nephrectomy) versus RLPN (retroperitoneal). Patients and Methods. From 1997 to 2009, a retrospective study of 153 consecutive patients who underwent TLPN or RLPN for suspicious renal masses was performed. Complications, functional and oncological outcomes were compared between the 2 groups. Results. With a mean followup of 39 and 32 months, respectively, 66 and 87 patients had TLPN and RLPN, respectively. Tumor location was more often posterior in the RLPN and more often anterior in the TLPN. Mean operative time and mean hospital stay were longer in the TLPN group with 190±85 min versus 154±47 (𝑃=0.001) and 9.2±6.4 days versus 6.2±4.5 days (𝑃
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