Original Article

Evaluation of Clinical and Operative Characteristics of Patients Undergoing Laparoscopic and Open Simple Nephrectomy

10.5222/BMJ.2020.97269

  • Ekrem Guner
  • Yusuf Arikan

Received Date: 01.04.2019 Accepted Date: 04.02.2020 Med J Bakirkoy 2020;16(2):148-151

Objective:

We aimed to raise awareness of patient management by examining the clinical and operative characteristics of patients undergoing simple nephrectomy for benign pathologies.

Method:

Data of patients who underwent simple nephrectomy for benign pathologies in our clinic between 2008-2019 were reviewed retrospectively. Demographic data, nephrectomy indications, renal scintigraphy results and operative characteristics of the patients were analyzed.

Results:

A total of 90 patients (51 female and 39 male) were included in the study. The mean age of the patients was 45.1 ± 14.6 years. Fourty-eight of the nephrectomized kidneys were right kidney and 42 were left kidneys. Laparoscopic nephrectomy was performed in 47 (52.2%) patients and open nephrectomy was performed in 43 (47.8%) patients. A total of 6 patients (6.6%) had peroperative complications. There was no difference in peroperative complications in patients undergoing laparoscopic and open nephrectomy (p = 0.14). Patient ages, BMIs and operative times were similar; p = 0.535, p = 0.337 and p = 0.074, respectively.

Conclusion:

Laparoscopic and open surgery provides similar surgical results in simple nephrectomies due to benign pathologies compared to the surgeon experience.

Keywords: simple nephrectomy, laparoscopic nephrectomy, non-functional kidney