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Retroperitonoskopik Nefrektomi: Açık Nefrektomi İle Bir Karşılaştırma

Retroperitoneal nephrectomy: a comparison with open nephrectomy

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1995

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Eleven retroperitoneal laparoscopic nephrectomies and 12 standard subcostal nephrectomies that were performed for the treatment of benign conditions between 1993 and 1996, were evaluated in regard to operative time, pain medication, hospital stay and interval to return regular activities. The average operative time was 168 minutes for the endoscopic group, The mean hospital stay was 2.1 days with the endoscopic nephrectomy. The mean postoperative period that parenteral pain medication was needed, was 1.3 day for the endoscopic group. The interval to return regular activities was 7 days with the endoscopic nephrectomy. The same parameters were found as followed respectively for the open nephrectomy group: the average operative time 145 minutes, the mean hospital stay 6 days, the need of parenteral pain medication 3.4 days, the interval to return regular activities 27 days. Retroperitoneal laparoscopic nephrectomy may be preferred to open nephrectomy for the treatment of benign renal conditions while providing superior cosmetic result, better analgesia, shorter hospital stay and convalescence in the clinics that the laparoscopic surgery have been routinely performed..
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Abstract (Original Language): 
1993-1996 yılları arasında retroperitoneal laparoskopik teknikle iyi huylu patolojilere bağlı endikasyonlarla 11 endoskopik nefrektomi, 12 standart subkostal nefrektomi vakası operasyon süresi, analjezik ihtiyacı, postoperatif hastanede kalış, normal yaşam tarzına dönüş yönünden incelendiler. Endoskopik gurupta ortalama operasyon süresi 168 dk, ortalama hastanede yatış 2.1 gün, parenteral analjezik ihtiyacı süresi 1.3 gün, normal yaşam biçimine dönüş süresi 7 gün olarak tespit edildi. Açık nefrektomi gurubunda ortalama operasyon süresi 145 dk, ortalama hastanede yatış 6 gün, parenteral analjezik ihtiyacı süresi 3.4 gün, normal yaşam biçimine dönüş süresi 27 gün idi.. İyi huylu endikasyonlarda retroperitoneal laparoskopik nefrektomi, postoperatif ağrının daha az oluşu, kozmetik olmayan bir skardan kaçınabilme, hastanede kalış ve iyileşme döneminin kısalığı sebepleriyle laparoskopik cerrahinin rutin olarak uygulandığı kliniklerde açık cerrahi tekniklere tercih edilebilir bulundu.
FULL TEXT (PDF): 
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  • 4
324-329
  • Turkish

REFERENCES

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