Laparoscopic nephrectomy at left side - alternative access
Abstract
Background. It was suggested the way of laparoscopic transmesenterial nephrectomy at left side. Methods. It was carried out the analysis of treatment results of 59 patients, having been had the laparoscopic nephrectomy at left side, 30 of them were operated transmesentrially, and 29 of them - in standard way. Results. Intrasurgery complications were not registered at transmesenterial surgery (they were registered twice at the standard surgery). The duration were nearly the same in both groups: average - 115 and 110 minutes. The duration of hospital admission were the same - 6 days. Under transmesenterial interference from the beginning of surgery to clipping the renal artery runs an average of 15 minutes, whereas in the standard nephrectomy -40 minutes. Conclusions. In our opinion, in many cases transmesenterial way has obvious advantages over the standard one and may be considered as an alternative way.
About the Authors
A. D. Kochkin
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
A. G. Martov
57 Moscow City Clinical Hospital
Russian Federation
Russian Federation
F. A. Sevryukov
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
E. A. Gallyamov
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
V. P. Sergeev
62 Moscow City Oncological Hospital
Russian Federation
Russian Federation
A. B. Novikov
Multi-field Medical Center of Bank of Russia
Russian Federation
Russian Federation
K. S. Presnov
Multi-field Medical Center of Bank of Russia
Russian Federation
Russian Federation
D. V. Semenychev
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
A. V. Knutov
Road clinical hospital at Gorkiy station JCS 'Russian
Russian Federation
Russian Federation
A. E. Sanzharov
40 City Clinical Hospital
Russian Federation
Russian Federation
I. N. Orlov
St. Luca City Clinical Hospital
Russian Federation
Russian Federation
I. V. Meschankin
Treatment and Rehabilitation Center of MOH Russia
Russian Federation
Russian Federation
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Review
For citations:
Kochkin A.D., Martov A.G., Sevryukov F.A., Gallyamov E.A., Sergeev V.P., Novikov A.B., Presnov K.S., Semenychev D.V., Knutov A.V., Sanzharov A.E., Orlov I.N., Meschankin I.V. Laparoscopic nephrectomy at left side - alternative access. Pacific Medical Journal. 2015;(4):66-68. (In Russ.)
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