World Journal of Laparoscopic Surgery

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VOLUME 17 , ISSUE 3 ( September-December, 2024 ) > List of Articles

RESEARCH ARTICLE

Comparative Study of Outcome and Complications of Laparoscopic and Open Simple Nephrectomy in Patients with Non-functioning Kidneys

Sankaran U Prasanth Kumar, Thiagarajan Senthilkumar, Rangineni S Rohitha

Keywords : Complications, Hospital stay, Laparoscopic nephrectomy, Non-functioning kidneys, Open nephrectomy

Citation Information : Kumar SU, Senthilkumar T, Rohitha RS. Comparative Study of Outcome and Complications of Laparoscopic and Open Simple Nephrectomy in Patients with Non-functioning Kidneys. World J Lap Surg 2024; 17 (3):149-152.

DOI: 10.5005/jp-journals-10033-1626

License: CC BY-NC 4.0

Published Online: 16-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Background: Nephrectomy is the cardinal treatment option for patients with non-functioning kidneys due to malignant and benign causes. Both laparoscopic and open nephrectomy is preferred but the laparoscopy has less complication and improved surgical outcome when compared over open procedure. In this backdrop, the present study was conducted to compare the surgical outcomes and complications of open and laparoscopic nephrectomy procedures. Materials and methods: This was a retrospective study conducted on 50 patients admitted with non-functioning kidneys. They were divided into two groups—laparoscopic nephrectomy (n = 25) and open simple nephrectomy (n = 25). The duration of hospital stay, surgery, postoperative catheter drain removal and surgical complications were analyzed and compared between laparoscopic and open methods. Results: Laparoscopic nephrectomy showed less operative time (90.60 ± 15.99 vs 133.64 ± 10.57 minutes; p = 0.001), shorter hospital stay (3.40 ± 0.12 vs 5.48 ± 0.16 days; p = 0.001) and early postoperative catheter removal (3.20 ± 1.08 vs 2.56 ± 1.04; p = 0.03) when compared with open nephrectomy and it was significant. The complication rate was lower in laparoscopic nephrectomy when compared with simple open nephrectomy (12 vs 36%). Conclusion: Laparoscopic nephrectomy for non-functioning is an effective alternative to open nephrectomy, leading to reduced operative time, quicker recovery and fewer complications as indicated by our findings.

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