PMID: 11320108Apr 26, 2001Paper

Laparoscopic nephrectomy in young-old, old-old, and oldest-old adults

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
P FornaraD Jocham

Abstract

This study reports findings for laparoscopic nephrectomy in comparison with open nephrectomy in geriatric patients. Since 1993, a total of 249 patients have undergone nephrectomy for benign disease at the Medical University of Lübeck, Germany. In 11 patients older than 65 years, a laparoscopic nephrectomy was performed (in the majority via a transperitoneal approach), and 42 patients older than 65 years underwent an open-flank nephrectomy. Clinical parameters were evaluated in comparison with both groups and stratified according to age groups. With respect to operative results (operative duration and pre- and postoperative hemoglobin levels), no relevant differences were observed between the laparoscopy group and the open-nephrectomy group, even when stratified according to patient age. However, patients in the laparoscopy group demonstrated a significant advantage concerning blood loss and the number of required blood transfusions, regardless of age. In addition, patients after laparoscopy showed advantages in the postoperative course. Benefits were proven for the analgesic consumption, hospital stay, and convalescence parameters. Although complication rates were comparable in both groups, an increase was observed in both grou...Continue Reading

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Citations

Nov 29, 2007·Journal of Endourology·Frank C LaiGerhard J Fuchs
Jan 16, 2016·Cancers·Vincent Lavoué, Walter Gotlieb
Jul 24, 2012·The Journal of Urology·Julien BergerAurélien Descazeaud
Feb 14, 2007·The Journal of Urology·A Karim KaderChristopher G Wood
Feb 1, 2007·Journal of Endourology·Lee C ZhaoRobert B Nadler
Oct 28, 2009·Journal of Geriatric Physical Therapy·Theresa M NemmersMerrillyn D Hartman
Aug 30, 2019·International Journal of Aging & Human Development·Minsun Lee, Mary Lynn Damhorst
Nov 8, 2001·Journal of Endourology
Oct 30, 2021·Journal of Endourology·Makoto TaguchiTadashi Matsuda

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