Initial Experience with Laparoscopic Nephrectomy at Services Hospital Lahore

Abstract

Introduction: Nephrectomy means removal of kidney. Laparoscopic nephrectomy is an effective way to remove a diseased or cancerous kidney. Nephrectomy is performed to treat malignant or benign tumors of the kidney and symptomatic non functioning kidney. Laparoscopic nephrectomy is performed through transperitoneal or retroperitoneal approach.

Aims & Objectives: To determine the initial experience of laparoscopic nephrectomy.

Place and duration of study: Department of Urology, Services Hospital, Lahore from 1^st January 2018 to 30^th June 2019.

Material & Methods: A total of 50 patients who underwent laparoscopic nephrectomy were included. The demographic data like age, gender, site of operation, operative time, conversion rates, postoperative complications and postoperative hospital stay were recorded. Data was analyzed using SPSS 20.0 and reported as mean± s.d, frequencies and percentages.

Results: There were 28 (56%) female patients and 22 (44%) male patients. Six (12%) patients were ages <25 years, 20 (40%) were ages 25 to 40 years, 18 (36%) were ages 41 to 55 years and 6 (12%) were ages above 55 years. Non-functional kidney due to stone disease was the most common indication 35 (70%). Mean operative time was 170.43+8.45 minutes. Conversion rate was in 1 (2%) patients. Mean hospital stay was 4.32+1.45 days.

Conclusion: It is concluded from this study that laparoscopic nephrectomy is safe and better technique with very low rate of complications.