Page 24 - WALS Journal

The Comparative Estimation Result Radical Nephrectomy...
World Journal of Laparoscopic Surgery, May-August 2008;1(2):27-28
The Comparative Estimation Result Radical

Nephrectomy Executed “Opened”, Laparoscopic

and Laparoscopic Hand-assisted Access

Lucevich OE, Kamilov EV
Russian Federation, City Moscow Leningradskiy

Abstract: The moment of introduction by Robson in 1963 radical
nephrectomy this method remains the standard in surgical
treatment at cancer of a kidney. Traditionally operation was
carried out by the open technique. However for last decade
significant progress in the field of a urological laparoscopy has
started to change this standard Laparoscopy access at
operations in urology has started to carry out in 70th years
mainly in the diagnostic purposes. In XXI century the
laparoscopy began to play a significant role in a urological
practice.
Aims: Improvement of results of treatment patients of malignant
tumors of a kidney at use ORN, LRN and HALRN.

Materials and methods: Results of treatment of 120 patients
with a cancer of a kidney in the age of from 32 till 77 years A
(middle age -54,6±8,4 years). Patients have been divided into Clipping of Renal vein
three groups: in first group 60 (50%) patients it is executed
ORN. In the second group at 26 (21.7%) by patients it is executed
LRN. Into the third group have entered 34 (28.3%) the person
by whom it is executed HALRN. The various steps for HALRN
are shown in Figs 1 to 2A to C.
In the first group the size of a tumors has on the middle
made 8.4 ± 1.2 sm, in the second group 6.7 ± 1.1 sm, and in the
third group 7.1 ± 1.8 sm.

Results: At ORN middle operative time has made 135.7 ± 8.2
minute, with middle blood loss 274.3 ± 28.5 ml. The length of a
operational cut has on the made 18.4 ± 2.3 sm. Duration of time
invalidity has made 31.2 ± 7.6 day. Middle stay of the patient in
hospital has made 16.8 ± 2.7 day.
At LRN middle operative time has made 122.6 ± 4.1 minute,
with middle blood loss 115.4 ± 17.3 ml. The length of a operational
cut has on the made 5.3 ± 0.4 sm. Duration of time invalidity has
made 15.9 ± 4.1 day. Middle stay of the patient in hospital has B
made 6.2 ± 3.1 day.
Seperation of an artery

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