Comparative Study between Open and Laparoscopic Nephrectomy

  • Rajan Koju Dhulikhel Hospital, Kathmandu University Hospital
  • Hem Nath Joshi Dhulikhel Hospital, Kathmandu University Hospital
  • Sujan Makaju Shrestha Dhulikhel Hospital, Kathmandu University Hospital
  • Bikesh Shrestha Dhulikhel Hospital, Kathmandu University Hospital
  • Narendra Shalike Dhulikhel Hospital, Kathmandu University Hospital
Keywords: Laparoscopic nephrectomy, Non-functioning kidney, Open nephrectomy

Abstract

 Introduction: This is an era of minimal invasive surgery. There are various modalities of nephrectomy for removing non-functioning kidney. The aim of this study is to compare outcome following open and laparoscopic nephrectomy in context to operative duration, post-operative pain, complication and quality of life.

Methods: This is a retro-prospective clinical study in 40 patients with non-functioning kidney. Previous patients who have undergone open nephrectomy were compared with new patients who underwent laparoscopic nephrectomy in this study.

Results: There was no difference in age, gender and side of lesion in both groups. There was significantly prolonged operative duration in laparoscopic nephrectomy (177.75±20.68 min vs 150±13.28 min, p=0.008). Significantly high pain score in open group (7.1±0.31 vs 4.05±0.76, p<0.001) was observed. There was prolonged hospital stay in open group than in laparoscopic group which is statistically significant (6.30±0.66 days vs 3.10±0.72 days, p<0.001). There was early return to normal work in laparoscopic group (13.45±2.19 days vs 27.05±1.99 days, p<0.001). There was more post-operative complication observed in open group (65%); all were surgical site infections which is statistically significant (p<0.001).

Conclusion: Laparoscopic nephrectomy is better than open in terms of post-operative pain, hospital stay, post-operative complication and return to normal work, though the operative duration is significantly prolonged than open nephrectomy.

Author Biographies

Rajan Koju, Dhulikhel Hospital, Kathmandu University Hospital

 

Lecturer, Department of Surgery

 

Hem Nath Joshi, Dhulikhel Hospital, Kathmandu University Hospital

Department of Surgery

Sujan Makaju Shrestha, Dhulikhel Hospital, Kathmandu University Hospital

Department of Surgery

Bikesh Shrestha, Dhulikhel Hospital, Kathmandu University Hospital

Department of Surgery

Narendra Shalike, Dhulikhel Hospital, Kathmandu University Hospital

Department of Surgery

Published
2020-02-11
How to Cite
Koju, R., Joshi, H., Shrestha, S., Shrestha, B., & Shalike, N. (2020). Comparative Study between Open and Laparoscopic Nephrectomy. Journal of KIST Medical College, 2(1), 62-66. Retrieved from http://rupeshmukhia.pro.np/index.php/JKISTMC/article/view/50