Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience
Identifieur interne : 002E34 ( Istex/Corpus ); précédent : 002E33; suivant : 002E35Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience
Auteurs : Akihiro Kawauchi ; Akira Fujito ; Osamu Ukimura ; Jintetsu Soh ; Yoichi Mizutani ; Yoichiro Imaide ; Tsuneharu MikiSource :
- International Journal of Urology [ 0919-8172 ] ; 2002-09.
English descriptors
- Teeft :
- Adrenal gland, Blood loss, Complication rate, Hals, Hals retroperitoneal, Incision, Laparoscopic, Laparoscopic nephrectomy, Laparoscopic surgery, Nephrectomy, Normal activities, Open procedure, Open surgery, Postoperative, Radical nephrectomy, Renal, Renal artery, Renal cell carcinoma, Renal tumors, Retroperitoneal, Retroperitoneal laparoscopic, Retroperitoneal space, Retroperitoneoscopic, Right side, Urol, Urology.
Abstract
Abstract Objectives: To report our initial experience of hand‐assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors.
Methods: The clinical data on 22 consecutive patients who had undergone hand‐assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7–7.5 cm incision using a LAP DISC.
Results: The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 vs 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 vs 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients.
Conclusion: Hand‐assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.
Url:
DOI: 10.1046/j.1442-2042.2002.00512.x
Links to Exploration step
ISTEX:B39B54BFA3D0C4956E896CCA6D1D400BD195A187Le document en format XML
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Ukimura</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Soh, Jintetsu" sort="Soh, Jintetsu" uniqKey="Soh J" first="Jintetsu" last="Soh">Jintetsu Soh</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Mizutani, Yoichi" sort="Mizutani, Yoichi" uniqKey="Mizutani Y" first="Yoichi" last="Mizutani">Yoichi Mizutani</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Imaide, Yoichiro" sort="Imaide, Yoichiro" uniqKey="Imaide Y" first="Yoichiro" last="Imaide">Yoichiro Imaide</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, 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Akihiro" sort="Kawauchi, Akihiro" uniqKey="Kawauchi A" first="Akihiro" last="Kawauchi">Akihiro Kawauchi</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: kawauchi@koto.kpu‐m.ac.jp</mods:affiliation></affiliation></author><author><name sortKey="Fujito, Akira" sort="Fujito, Akira" uniqKey="Fujito A" first="Akira" last="Fujito">Akira Fujito</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Ukimura, Osamu" sort="Ukimura, Osamu" uniqKey="Ukimura O" first="Osamu" last="Ukimura">Osamu Ukimura</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Soh, Jintetsu" sort="Soh, Jintetsu" uniqKey="Soh J" first="Jintetsu" last="Soh">Jintetsu Soh</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Mizutani, Yoichi" sort="Mizutani, Yoichi" uniqKey="Mizutani Y" first="Yoichi" last="Mizutani">Yoichi Mizutani</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Imaide, Yoichiro" sort="Imaide, Yoichiro" uniqKey="Imaide Y" first="Yoichiro" last="Imaide">Yoichiro Imaide</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author><author><name sortKey="Miki, Tsuneharu" sort="Miki, Tsuneharu" uniqKey="Miki T" first="Tsuneharu" last="Miki">Tsuneharu Miki</name><affiliation><mods:affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">International Journal of Urology</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF UROLOGY</title><idno type="ISSN">0919-8172</idno><idno type="eISSN">1442-2042</idno><imprint><biblScope unit="vol">9</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="480">480</biblScope><biblScope unit="page" to="484">484</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Science Pty</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2002-09">2002-09</date></imprint><idno type="ISSN">0919-8172</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0919-8172</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Adrenal gland</term><term>Blood loss</term><term>Complication rate</term><term>Hals</term><term>Hals retroperitoneal</term><term>Incision</term><term>Laparoscopic</term><term>Laparoscopic nephrectomy</term><term>Laparoscopic surgery</term><term>Nephrectomy</term><term>Normal activities</term><term>Open procedure</term><term>Open surgery</term><term>Postoperative</term><term>Radical nephrectomy</term><term>Renal</term><term>Renal artery</term><term>Renal cell carcinoma</term><term>Renal tumors</term><term>Retroperitoneal</term><term>Retroperitoneal laparoscopic</term><term>Retroperitoneal space</term><term>Retroperitoneoscopic</term><term>Right side</term><term>Urol</term><term>Urology</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Abstract Objectives: To report our initial experience of hand‐assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors.</div><div type="abstract">Methods: The clinical data on 22 consecutive patients who had undergone hand‐assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7–7.5 cm incision using a LAP DISC.</div><div type="abstract">Results: The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 vs 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 vs 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients.</div><div type="abstract">Conclusion: Hand‐assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>nephrectomy</json:string><json:string>laparoscopic</json:string><json:string>retroperitoneal</json:string><json:string>laparoscopic nephrectomy</json:string><json:string>renal</json:string><json:string>urology</json:string><json:string>urol</json:string><json:string>retroperitoneoscopic</json:string><json:string>incision</json:string><json:string>blood loss</json:string><json:string>postoperative</json:string><json:string>renal artery</json:string><json:string>open surgery</json:string><json:string>open 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Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation><affiliation>Akihiro Kawauchi md, Department of Urology, Kyoto Prefectural University of Medicine, Kawaramachi‐Hirokoji, Kyoto 602‐8566, Japan. Email: kawauchi@koto.kpu‐m.ac.jp</affiliation></author><author xml:id="author-0001"><persName><forename type="first">AKIRA</forename><surname>FUJITO</surname></persName><affiliation><orgName type="department">Department of Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">OSAMU</forename><surname>UKIMURA</surname></persName><affiliation><orgName type="department">Department of Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">JINTETSU</forename><surname>SOH</surname></persName><affiliation><orgName type="department">Department of Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">YOICHI</forename><surname>MIZUTANI</surname></persName><affiliation><orgName type="department">Department of Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">YOICHIRO</forename><surname>IMAIDE</surname></persName><affiliation><orgName type="department">Department of Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">TSUNEHARU</forename><surname>MIKI</surname></persName><affiliation><orgName type="department">Department of Urology</orgName><orgName type="institution">Kyoto Prefectural University of Medicine</orgName><address><addrLine>Kyoto</addrLine><country key="JP">JAPAN</country><country key="JP"></country></address></affiliation></author><idno type="istex">B39B54BFA3D0C4956E896CCA6D1D400BD195A187</idno><idno type="ark">ark:/67375/WNG-Q5KWH9NV-D</idno><idno type="DOI">10.1046/j.1442-2042.2002.00512.x</idno><idno type="unit">IJU512</idno><idno type="toTypesetVersion">file:IJU.IJU512.pdf</idno></analytic><monogr><title level="j" type="main">International Journal of Urology</title><title level="j" type="alt">INTERNATIONAL JOURNAL OF UROLOGY</title><idno type="pISSN">0919-8172</idno><idno type="eISSN">1442-2042</idno><idno type="book-DOI">10.1111/(ISSN)1442-2042</idno><idno type="book-part-DOI">10.1111/iju.2002.9.issue-9</idno><idno type="product">IJU</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">9</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="480">480</biblScope><biblScope unit="page" to="484">484</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Science Pty</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2002-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="italic">Abstract</hi><hi rend="italic"> Objectives:</hi> To report our initial experience of hand‐assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors.</p><p><hi rend="italic">Methods:</hi> The clinical data on 22 consecutive patients who had undergone hand‐assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7–7.5 cm incision using a LAP DISC.</p><p><hi rend="italic">Results:</hi> The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 <hi rend="italic">vs</hi> 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 <hi rend="italic">vs</hi> 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients.</p><p><hi rend="italic">Conclusion:</hi> Hand‐assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">hand‐assistance</term><term xml:id="k2">minimally invasive surgery</term><term xml:id="k3">radical nephrectomy</term><term xml:id="k4">renal tumor</term><term xml:id="k5">retroperitoneoscopy</term></keywords><keywords rend="tocHeading1"><term>ORIGINAL ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-Q5KWH9NV-D/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Science Pty</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1442-2042</doi><issn type="print">0919-8172</issn><issn type="electronic">1442-2042</issn><idGroup><id type="product" value="IJU"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF UROLOGY">International Journal of Urology</title></titleGroup></publicationMeta><publicationMeta level="part" position="09009"><doi origin="wiley">10.1111/iju.2002.9.issue-9</doi><numberingGroup><numbering type="journalVolume" number="9">9</numbering><numbering type="journalIssue" number="9">9</numbering></numberingGroup><coverDate startDate="2002-09">September 2002</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0048000" status="forIssue"><doi origin="wiley">10.1046/j.1442-2042.2002.00512.x</doi><idGroup><id type="unit" value="IJU512"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES</title></titleGroup><eventGroup><event type="firstOnline" date="2002-11-08"></event><event type="publishedOnlineFinalForm" date="2002-11-08"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.4 mode:FullText source:FullText result:FullText" date="2010-03-30"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-28"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="480">480</numbering><numbering type="pageLast" number="484">484</numbering></numberingGroup><correspondenceTo>Akihiro Kawauchi <sc>md</sc>, Department of Urology, Kyoto Prefectural University of Medicine, Kawaramachi‐Hirokoji, Kyoto 602‐8566, Japan. Email: <email normalForm="kawauchi@koto.kpu-m.ac.jp">kawauchi@koto.kpu‐m.ac.jp</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:IJU.IJU512.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 9 January 2002; accepted 8 April 2002.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="18"></count><count type="wordTotal" number="2602"></count><count type="linksPubMed" number="5"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience</title><title type="shortAuthors">A Kawauchi <i>et al.</i></title><title type="short">HALS retroperitoneal radical nephrectomy</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>AKIHIRO</givenNames><familyName>KAWAUCHI</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>AKIRA</givenNames><familyName>FUJITO</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>OSAMU</givenNames><familyName>UKIMURA</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>JINTETSU</givenNames><familyName>SOH</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>YOICHI</givenNames><familyName>MIZUTANI</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>YOICHIRO</givenNames><familyName>IMAIDE</familyName></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a1"><personName><givenNames>TSUNEHARU</givenNames><familyName>MIKI</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="JP"><unparsedAffiliation><i>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</i></unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">hand‐assistance</keyword><keyword xml:id="k2">minimally invasive surgery</keyword><keyword xml:id="k3">radical nephrectomy</keyword><keyword xml:id="k4">renal tumor</keyword><keyword xml:id="k5">retroperitoneoscopy</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Abstract</b><b> Objectives:</b> To report our initial experience of hand‐assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors.</p><p><b>Methods:</b> The clinical data on 22 consecutive patients who had undergone hand‐assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7–7.5 cm incision using a LAP DISC.</p><p><b>Results:</b> The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 <i>vs</i> 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 <i>vs</i> 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients.</p><p><b>Conclusion:</b> Hand‐assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>HALS retroperitoneal radical nephrectomy</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Hand‐assisted retroperitoneoscopic radical nephrectomy: Initial experience</title></titleInfo><name type="personal"><namePart type="given">AKIHIRO</namePart><namePart type="family">KAWAUCHI</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><affiliation>E-mail: kawauchi@koto.kpu‐m.ac.jp</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">AKIRA</namePart><namePart type="family">FUJITO</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">OSAMU</namePart><namePart type="family">UKIMURA</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JINTETSU</namePart><namePart type="family">SOH</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YOICHI</namePart><namePart type="family">MIZUTANI</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YOICHIRO</namePart><namePart type="family">IMAIDE</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">TSUNEHARU</namePart><namePart type="family">MIKI</namePart><affiliation>Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Science Pty</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2002-09</dateIssued><edition>Received 9 January 2002; accepted 8 April 2002.</edition><copyrightDate encoding="w3cdtf">2002</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">18</extent><extent unit="linksCrossRef">0</extent><extent unit="words">2602</extent></physicalDescription><abstract>Abstract Objectives: To report our initial experience of hand‐assisted retroperitoneoscopic radical nephrectomy for stage T1 renal tumors.</abstract><abstract>Methods: The clinical data on 22 consecutive patients who had undergone hand‐assisted retroperitoneoscopic radical nephrectomy and 22 who had undergone open radical nephrectomy were reviewed. The operation was performed with a hand placed retroperitoneally through a pararectal longitudal 7–7.5 cm incision using a LAP DISC.</abstract><abstract>Results: The total operating time was between 2.3 and 5.8 h (mean: 3.4 h). The estimated blood loss was between 15 and 650 mL (mean: 170 mL). The complication rate was 9% (2/22). No conversions to open procedure occurred. In comparison to open radical nephrectomy, the operating time was similar (3.4 vs 3.9 h) whereas the estimated blood loss was significantly less in this procedure (170 vs 495 mL). During the convalescence period the patients revealed significantly less postoperative pain, shorter intervals to resuming oral intake and more rapid return to normal activities compared to the open radical nephrectomy patients.</abstract><abstract>Conclusion: Hand‐assisted retroperitoneoscopic radical nephrectomy is an effective and safe procedure for T1 renal tumors.</abstract><subject lang="en"><genre>keywords</genre><topic>hand‐assistance</topic><topic>minimally invasive surgery</topic><topic>radical nephrectomy</topic><topic>renal tumor</topic><topic>retroperitoneoscopy</topic></subject><relatedItem type="host"><titleInfo><title>International Journal of Urology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0919-8172</identifier><identifier type="eISSN">1442-2042</identifier><identifier type="DOI">10.1111/(ISSN)1442-2042</identifier><identifier type="PublisherID">IJU</identifier><part><date>2002</date><detail type="volume"><caption>vol.</caption><number>9</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>480</start><end>484</end><total>5</total></extent></part></relatedItem><identifier type="istex">B39B54BFA3D0C4956E896CCA6D1D400BD195A187</identifier><identifier type="ark">ark:/67375/WNG-Q5KWH9NV-D</identifier><identifier type="DOI">10.1046/j.1442-2042.2002.00512.x</identifier><identifier type="ArticleID">IJU512</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Science Pty</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-Q5KWH9NV-D/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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