The British Association of Urological Surgeons Section of Endourology audit of laparoscopic nephrectomy

BJU International
Stephen R KeoghaneBritish Association of Urological Surgeons Section of Endourology

Abstract

To report the first UK national audit of laparoscopic nephroureterectomy, radical and simple nephrectomy. All members of the British Association of Urological Surgeons (BAUS) undertaking laparoscopic nephrectomy were invited to submit prospectively collected data from their centres to a nationally established database, using a standard proforma. The period covered by the audit was 1 July 2001 to 30 June 2002. The indications for surgery, peri- and postoperative data, and some demographic details were collected. Data were received from 25 centres; 13 had undertaken five or fewer cases per year; 263 procedures were reported, including 20 of hand-assisted nephrectomy. Most cases were for nonfunctioning kidneys, or renal cell carcinoma, with transitional cell cancer and stones forming a smaller proportion. The mean (range) operative duration was 173 (89-335) min. The median postoperative stay was 4 days, with a wide range reflecting clinical and other reasons for delayed discharge. Two deaths were reported, giving a mortality of 0.7%. The mean conversion rate was 5.7% and the mean complication rate 16.8%; these rates were no higher in centres undertaking fewer than five cases per year than in the centres with a greater volume. Enco...Continue Reading

References

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Citations

Jul 20, 2007·Journal of Endourology·Neil A BurgessMichael Rhodes
Jul 15, 2011·Journal of Endourology·Alexander LairdS Alan McNeill
Nov 26, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Adam C MuesJaime Landman
Jun 21, 2005·BJU International·Martin NuttallMark Emberton
Jan 25, 2006·BJU International·Kim DavenportUNKNOWN Members of the Baus Section of Endourology
Apr 29, 2006·BJU International·Aloysius A OkekeMark P J Wright

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