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Comparison of open, laparoscopic and robot-assisted partial nephrectomy results

Abstract

INTRODUCTION. Advantages and disadvantages of open (OPN) and laparoscopic (LPN) partial nephrectomy are detailed in literature. Now it is necessary to review priorities of conservative surgeries at renal cell carcinoma because of implantation of robot-assisted partial nephrectomy (RPN). We undertook an investigation to compare all three methods by general signs describing operative measures and patients staying at hospital. PATIENTS AND METHODS. 87 open, 34 laparoscopic and 30 robot-assisted partial nephrectomies were executed to patients with renal cell carcinoma at T1-2N0M0 stage. Main signs were evaluated including thermal ischemia time (TIT), creatinine level, operation time, extent of blood loss, postoperative patient day. RESULTS. Mean duration of OPN was lower than LPN and RPN (102,8, 162,7 and 143,3 min, respectively). Greatest TIT was at LPN (16, 6 min) and there was no significant difference between OPN and RPN (14,5 and 12,9 min, respectively). Mean extent of blood loss at OPN and LPN was significantly higher than at RPN (332, 343 and 128 ml, respectively). Creatinine growth was 28,6%, 14,4% and20,4% for OPN, LPN and rPn, respectively. Greatest postoperative patient day was at OPN and minimal - at RPN (13,0 and 9,0 days,respectively). CONCLUSION. For the first time results of one comparison of three partial nephrectomy methods became available. Most prospective is robot-assisted method, which combine advantages of open and laparoscopic methods.

About the Author

M. S. Mosoyan
Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова, Министерство здравоохранения Российской Федерации
Russian Federation


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Review

For citations:


Mosoyan M.S. Comparison of open, laparoscopic and robot-assisted partial nephrectomy results. Nephrology (Saint-Petersburg). 2014;18(2):79-84. (In Russ.)

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ISSN 1561-6274 (Print)
ISSN 2541-9439 (Online)