Complications in Laparoscopic Kidney Surgery: A Meta‑Analysis of the Literature (Pareek et al., Journal of Urology, 2006)

The laparoscopic approach for kidney surgery is rapidly becoming the global “gold standard.” There is now sufficient evidence that, with proper patient selection, the laparoscopic approach is an alternative to the open technique of kidney surgery. In this report, Pareek and colleagues (Pareek G, Hedican SP, Gee JR, Bruskewitz RC, Nakada SY. — J Urol. 2006 Apr;175(4):1208–13.) described complications associated with different laparoscopic approaches using a meta-analysis of the literature. The following procedures were included in this analysis: laparoscopic radical nephrectomy (LRN), hand-assisted laparoscopic radical nephrectomy (HALRN), laparoscopic partial nephrectomy (LPN), hand-assisted laparoscopic partial nephrectomy (HALPN), laparoscopic donor nephrectomy (LDN), hand-assisted laparoscopic donor nephrectomy (HALDN), laparoscopic simple nephrectomy (LSN), laparoscopic nephroureterectomy (LNU), retroperitoneal laparoscopic nephrectomy (RLN). The authors reviewed the literature using a variety of search technologies. They initially identified 75 references eligible for the search between 1995 and 2004. Of these 75 references, 56 cases fully met the criteria. The mean duration of the study was 9 months (range, 3–20 months). Major complications of laparoscopic renal surgery were 9.5%, and minor complications were 1.9%. Read more… [ http://eleps.portal7.tmweb.ru/publikatsii/urologiya/oslozhneniya-laparoskopicheskoy-khirurgii-pochek-metaanaliz-literaturnykh-dannykh-/ ]