Laparoscopic Nephrectomy as Outpatient Surgery

The Journal of Urology
Nessn H AzawiLars Lund

Abstract

We tested the feasibility and safety of performing laparoscopic nephrectomy as outpatient surgery in patients with renal cancer. We performed a prospective, multicenter, descriptive study between April 2014 and February 2015 with postoperative followup at 30 days. A total of 140 patients were diagnosed with renal cancer during this period, of whom 50 met study inclusion criteria and agreed to participate. Reasons for exclusion from analysis included planned partial nephrectomy in 35 patients, lived alone without adequate home support in 17, advanced age or significant comorbid conditions in 33 and refusal to participate in 5. Pain, nausea, fatigue, operative time, bleeding, postoperative care unit stay and hospital stay were assessed. Continuous variables were compared by the paired t-test and categorical variables were compared by the Fisher exact test. Mean age of the 35 males (70%) and 15 females (30%) treated with planned outpatient surgery was 59.8 years. Of the patients 46 (92%) were discharged home within the first 6 hours after surgery. Four patients (8%) could not be discharged due to wrong medication in 2, fatigue in 1 and intestinal injury in 1. None of the 46 patients discharged early were readmitted to the hospital...Continue Reading

References

Jan 5, 1999·The Clinical Journal of Pain·M P JensenL D Fisher
Aug 29, 2003·Scandinavian Journal of Urology and Nephrology·Behroz FiroozfardHenrik Kehlet
Nov 19, 2003·The Journal of Pain : Official Journal of the American Pain Society·Mark P JensenAndrew M Brugger
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Nov 14, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Camran NezhatM Ali Parsa

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Citations

Jan 29, 2018·Current Urology Reports·Nessn H AzawiLars Lund
Mar 19, 2019·Scandinavian Journal of Urology·Nessn H AzawiLars Henning Olsen
Jan 25, 2021·Urologic Oncology·Kyle JohnsonUNKNOWN Michigan Urological Surgery Improvement Collaborative
Feb 12, 2021·Scandinavian Journal of Urology·Anna Krarup KellerJørgen Bjerggaard Jensen
Mar 18, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Serena CappuccioCarrie Langstraat

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