Nefrectomia laparoscopica: Nostra esperienza

Abstract

In this work we report our experience in the use of laparoscopie nephrectomy for benign renal disease. From September 1995 to April 1997, 10 patients, with age range from 36 to 67 years, underwent laparoscopie nephrectomy (4 for hydronephrosis, 4 contracted kidneys, 1 staghorn stone with excluded kidney, 1 tubercular contracted kidney). The average operating time was 150’. Average blood loss was about 200 cc. The patients resumed oral intake and started walking within 1 day, while just 1 patient required 500 ml of autologous blood. The average post-operative hospital stay was 4 days. Although laparoscopie operating times (average: 150’) are longer than those for traditional surgery, we achieved a considerable reduction in pain, post-operative hospital stay and in the time taken to resume normal activities. We therefore consider that laparoscopie nephrectomy may be a good alternative to traditional surgery for selected patients.