A Clinical Comparative Analysis of Retroperitoneal Laparoscopic Tuberculous Nephrectomy and Open Tuberculous Nephrectomy
Li X, Liu ZJ, Liu JW, Cai M, Chen S, Yu T, Tang YZ, Liu YB, et al. (9 authors)
Journal of laparoendoscopic & advanced surgical techniques. Part A · 2019-03
Abstract
Background: This study aimed to investigate the efficacy and safety of retroperitoneal laparoscopic tuberculous nephrectomy (RLTN) and open tuberculous nephrectomy (OTN). Materials and Methods: One hundred fifty-eight patients treated with RLTN were enrolled in the RLTN group. One hundred patients treated with OTN were enrolled in the control group. Surgical parameters and postoperative conditions were recorded to assess the effect of the operation, and complications were recorded throughout the follow-up time. The follow-up time was 2-72 months. Results: Eight cases in the RLTN group were moved to the OTN group due to intraoperative bleeding. There were significant differences in the diameter of the incision between the 2 groups ( P P Conclusions: Both treatment approaches were safe and effective, but RLTN presented more advantages. Therefore, RLTN can be used as a first-line method for tuberculous nephrectomy.
MeSH terms
- Retroperitoneal Space
- Humans
- Tuberculosis, Renal
- Laparoscopy
- Treatment Outcome
- Postoperative Period
- Nephrectomy
- Adult
- Aged
- Middle Aged
- Male
- Young Adult
- Conversion to Open Surgery