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1

Information Journal Paper

Title

Laparoscopic Versus Open Partial Nephrectomy for Stage T1a of Renal Tumors

Pages

  2903-2907

Abstract

 Purpose: Partial nephrectomy is the gold standard treatment for small kidney masses. Data on the comparison of laparoscopic (LPN) versus open partial nephrectomy (OPN) are based on retrospective studies. Thus, we planned to compare these two techniques in a prospective trial. Materials and Methods: The study population consisted of patients over 18 years old with single renal mass of ≤ 4 cm. Patients were divided into two groups considering their preference. Study arms were matched according to age, gender, tumor size and location and renal nephrometry score. Mean operation time, warm ischemia time, hospital stay, peri-operative complications and changes in glomerular filtration rate (GFR) after 1 month were recorded and compared in two groups. Patients’ satisfaction score, visual analogue scale and narcotics use to control post-operative pain were also studied. Results: 34 and 31 patients underwent LPN and OPN, respectively. There was no significant difference between OPN and LPN regarding hospital stay (4. 1 versus 4. 6 days; P =. 37), mean hemoglobin drop (2. 17 and 1. 96 g/dL; P =. 62), changes in GFR and positive margin (1 versus 3 p=. 40). LPN was accompanied with longer mean surgery time (180 min versus 127 minutes; P <. 001) and higher rate of urologic complications (P =. 04); nevertheless, patient satisfaction rate was higher (P =. 02) and dose of narcotics necessary for controlling post-operative pain was lower (P =. 04) in LPN. Conclusion: This clinical trial shows that LPN has some benefits over OPN, including decreased post-operative pain and higher patient satisfaction. However, extra caution should be considered in the issue of tumor margin and urinary leakage in LPN.

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    APA: Copy

    Rezaeetalab, Gholam Hossein, KARAMI, HORMOZ, DADKHAH, FARID, SIMFOROOSH, NASSER, & SHAKHSSALIM, NASSER. (2016). Laparoscopic Versus Open Partial Nephrectomy for Stage T1a of Renal Tumors. UROLOGY JOURNAL, 13(6), 2903-2907. SID. https://sid.ir/paper/271367/en

    Vancouver: Copy

    Rezaeetalab Gholam Hossein, KARAMI HORMOZ, DADKHAH FARID, SIMFOROOSH NASSER, SHAKHSSALIM NASSER. Laparoscopic Versus Open Partial Nephrectomy for Stage T1a of Renal Tumors. UROLOGY JOURNAL[Internet]. 2016;13(6):2903-2907. Available from: https://sid.ir/paper/271367/en

    IEEE: Copy

    Gholam Hossein Rezaeetalab, HORMOZ KARAMI, FARID DADKHAH, NASSER SIMFOROOSH, and NASSER SHAKHSSALIM, “Laparoscopic Versus Open Partial Nephrectomy for Stage T1a of Renal Tumors,” UROLOGY JOURNAL, vol. 13, no. 6, pp. 2903–2907, 2016, [Online]. Available: https://sid.ir/paper/271367/en

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