OUTCOMES OF NEPHRECTOMY APPROACHES: OPEN VS. LAPAROSCOPIC IN 156 PATIENTS A CROSS SESSIONAL STUDY
Main Article Content
Keywords
Nephrectomy, Laparoscopic, Open, Outcomes
Abstract
Objectives
This study compares the outcomes of laparoscopic and open nephrectomy procedures at the Institute of Kidney Diseases, Hayatabad, focusing on operative details, complications, and patient outcomes.
Study Design: A Cross sessional study
Duration and Place of Study: Conducted between 05-March 2020 and 05-March 2021 at the Institute of Kidney Diseases, Hayatabad Peshawar, Pakistan
Materials and Methods
In this Cross sessional study, we analysis of 156 nephrectomy cases was performed between 05-March 2020 and 05-March 2021 at the Institute of Kidney Diseases, Hayatabad. Data on patient demographics, operative details, complications, and outcomes were collected from medical records. Statistical analysis was performed using SPSS Version 22, with comparisons made between laparoscopic and open nephrectomy groups. Chi-Square test and Student's t-test were utilized, with a significance level set at p < 0.005.
Results
The study included 156 nephrectomy cases, with 80 undergoing open nephrectomy and 76 laparoscopic nephrectomy. Laparoscopic nephrectomy demonstrated several advantages over open nephrectomy, including shorter operative time (125.4 vs. 145.2 minutes), reduced blood loss (54.75 vs. 359.24 ml), lower transfusion rates (11.04% vs. 52%), fewer postoperative complications (20.4% vs. 51.4%), shorter hospital stays (02.6 vs. 03.8 days), and superior pain control (06.8% vs. 96.4%). Additionally, laparoscopic nephrectomy resulted in smaller incisions and better cosmesis. No intraoperative complications were reported in the laparoscopic group, compared to two cases of minor inferior vena cava injury in the open group. The mean tumor size was smaller in the laparoscopic group (05.43 cm vs. 08.2 cm). Overall, laparoscopic nephrectomy demonstrated superior perioperative and postoperative outcomes compared to open nephrectomy, indicating its potential as the preferred approach for nephrectomy procedures.
Conclusion
Laparoscopic nephrectomy emerges as the preferred approach due to superior perioperative and postoperative postoperative outcomes compared to open nephrectomy. Increased training in laparoscopic surgery is recommended to align with global trends favoring minimally invasive techniques in nephrectomy procedures.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Sadaqat Ali Khan
District Urologist, DHQ Hospital, KDA Kohat
Akhtar Nawaz
Assistant Professor of Urology and Renal Transplant, Institute of Kidney Diseases, Peshawar - Pakistan
Muhammad Saad Hamid
TMO Team A Urology, Institute of Kidney Diseases Peshawar - Pakistan
Siddiq Akbar
TMO Team A Urology, Institute of Kidney Diseases Peshawar - Pakistan
Muhammad Waqas
TMO Team A Urology, Institute of Kidney Diseases Peshawar - Pakistan