Comparison of the Outcome of Laparoscopic Versus Open Nephrectomy in Non-Functioning Kidney
DOI:
https://doi.org/10.70749/ijbr.v3i7.1985Keywords:
laparoscopic nephrectomy, operative time, post-operative painAbstract
Introduction: Many traditional surgical intervention techniques have been superseded by endourological procedures in recent years. The primary factor contributing to surgeons' predilection for these surgical intervention techniques is their minimally invasive nature. This study was done to compare the outcome of Open surgery versus Laparoscopic surgery in patients undergoing nephrectomy. Study design: Randomized controlled trial. Study Period: November 23, 2024, to May 22, 2025. Methodology: There were 60 patients, of either gender, undergoing nephrectomy, ranging in age from 16 to 65. Patients with severe coagulopathies (INR>1.5), chronic renal failure were not included. The open approach was used to operate on patients in group A. Patients in group B had laparoscopic surgery performed on them. With the researcher's help, a single surgical team completed every procedure. Operative time was noted. Patients were then moved to post-operative wards and monitored until they were discharged. The length of hospital stay was recorded. Findings: Groups B and A in my study had average operational times of 111.23 ± 12.98 and 86.13 ± 9.58 minutes, respectively. Group A's mean hospital stay was 2.46 ± 0.81 days (p-value = 0.0001), whereas Group B's was 1.90 ± 0.80 days. 3.33% of patients in laparoscopic and 13.33% of patients in open group, respectively, suffered bleeding, per my research (p-value = 0.161). Wound infections affected 3.33% of patients in laparoscopic group and 13.33% of patients in open group (p-value = 0.161). Organ damage was present in 0.0% of patients in laparoscopic group and 6.67% of patients in open group (p-value = 0.150). Conclusion: This study came to the conclusion that, for patients having nephrectomy, laparoscopic surgery produces better results than open surgery.
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1. Ames KS Baky F Blair S. Simple nephrectomy in a tertiary care safety net hospital—Patient characteristics, causes, cost, and renal function implications. Urol. 2021;149:98–102.
https://doi.org/10.1016/j.urology.2020.12.013
2. Singh A, Urry RJ. Laparoscopic versus open nephrectomy in resource-constrained developing world hospitals: a retrospective analysis. Afr J Urol. 2020;26:85.
https://doi.org/10.1186/s12301-020-00096-9
3. Kızılay F, Turna B, Apaydın E, Semerci B. Comparison of long‐term outcomes of laparoscopic and robot‐assisted laparoscopic partial nephrectomy. Kaohsiung J Med Sci. 2019;35(4):238-43.
https://doi.org/10.1002/kjm2.12038
4. Bravi CA, Larcher A, Capitanio U, Mari A, Antonelli A, Artibani W, et al. Perioperative outcomes of open, laparoscopic, and robotic partial nephrectomy: A prospective multicenter observational study (The RECORd 2 Project). Eur Urol Focus. 2021;7(2):390-6.
https://doi.org/10.1016/j.euf.2019.10.013
5. Ali M, Khalid A, Sajjad K. Initial experience of laparoscopic nephrectomy for nonfunctioning kidney in Recep Tayyip Erdogan Hospital, Muzaffargarh. Professional Med J. 2023;30(04):446-50.
https://doi.org/10.29309/tpmj/2023.30.04.7303
6. Alam MN, Alam MS, Islam KN, Miah MLR. Laparoscopic versus open simple nephrectomy our initial experiences. Bangladesh J Urol. 2020;23(1):52-55.
https://doi.org/10.3329/bju.v23i1.50290
7. Khan SA, Nawaz A, Hamid MS, Akbar S, Waqas M. Outcomes of nephrectomy approaches: open vs. Laparoscopic in 156 patients a cross sessional study. J Population Therap Clin Pharmacol. 2022;29(2):364-9.
8. Nawaz A, Manan F, Minallah N, Bibi R, Rehman KU. Comparison of surgical outcome of open versus laparoscopic nephrectomy. J Rawalpindi Med Coll. 2022;26(3):389-94.
9. Murtaza G, Muhammad H, Zaki R. Comparative study between operative procedures of laparoscopic nephrectomy with open nephrectomy in cases of benign kidney diseases, outcome and complications: A single center experience. Pakistan J Med Heal Sci 2019;13(3):640–643.
https://pjmhsonline.com/2019/ july_sep/pdf/640.pdf.
10. Kurt O, Buldu I, Turan C. Does laparoscopic transperitoneal simple nephrectomy for inflammatory and non-inflammatory kidneys differ? Springerplus. 2016;5(1):1358.
https://doi.org/10.1186/s40064- 016-2945-3.
11. Ölçücüoğlu E. Comparing the complications of laparoscopically performed simple, radical and donor nephrectomy. Turk J Med Sci. 2020;50(4):922–929.
https://doi.org/10.3906/sag-1910–120.
12. Wang D, Xiao Z, Shou J. Comparison of laparoscopy and open radical nephrectomy of renal cell cancer. Open Med. 2019;14(1): 392–397.
https://doi.org/10.1515/med-2019-0040.
13. You C, Du Y, Wang H. Laparoscopic versus open partial nephrectomy: A systemic review and meta-analysis of surgical, oncological, and functional outcomes. Front Oncol. 2020;10:583979.
https://doi.org/10.3389/fonc.2020.583979.
14. Singh A, Urry RJ. Laparoscopic versus open nephrectomy in resource-constrained developing world hospitals: A retrospective analysis. African J Urol. 2020;26(1):85.
https://doi.org/10.1186/s12301-020-00096-9.
15. Falahatkar S, Enshaei A, Allahkhah AA. Comparison of open vs laparoscopic nephrectomy: Outcomes and complications. UroToday Int J. 2010;03(01):1–6.
https://doi.org/10.3834/uij.1944-5784.2010.02.01.
16. Ganpule AP, Sharma R, Thimmegowda M. Laparoscopic radical nephrectomy versus open radical nephrectomy in T1-T3 renal tumors: An outcome analysis. Indian J Urol. 2008;24(1):39–43.
https://doi.org/10.4103/0970-1591.38602.
17. Antonicelli A, Monaco F, Carretta A. Chest drainage therapy: what comes out of pandora’s box can affect patient outcomes. J Clin Med 2022;11(18):5311.
https://doi.org/10.3390/jcm11185311.
18. Li KP, Chen SY, Wang CY. Comparison between minimally invasive partial nephrectomy and open partial nephrectomy for complex renal tumors: A systematic review and meta-analysis. Int J Surg 2023;109(6):1769–1782.
https://doi.org/10.1097/JS9.0000000000000397.
19. Liu Z, Zhao X, Ge L. Completely laparoscopic versus open radical nephrectomy and infrahepatic tumor thrombectomy: Comparison of surgical complexity and prognosis. Asian J Surg 2021;44(4):641–648.
https://doi.org/10.1016/j.asjsur.2020.12.003.
20. Lyu J, Du CK, Zhu Y. Comparison between retroperitoneal laparoscopic nephrectomy and traditional open nephrectomy to treat polycystic kidney disease before kidney transplantation. Urol J 2023;20.
https://doi.org/10.22037/uj.v20i.7826.
21. Momin MA, Abdullah MNA, Reza MS. Comparison of relative renal functions calculated with 99mTc-DTPA and 99mTc-DMSA for kidney patients of wide age ranges. Phys Medica 2018;45:99–105.
https://doi.org/10.1016/j.ejmp.2017.12.005.
22. Prasanth Kumar SU, Senthilkumar T, Rohitha RS. Comparative study of outcome and complications of laparoscopic and open simple nephrectomy in patients with non-functioning kidneys. World J Lap Surg 2024;17(3):149–52.
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