Laparoscopic nephrectomy for the treatment of renal tumors at Thanh Hoa General Hospital in Vietnam
Research Topic: Vietnamese Medical Research
We evaluated the results of laparoscopic nephrectomy for the treatment of renal tumors in a provincial hospital. Subjects and methods: 30 patients were diagnosed with renal tumors and underwent laparoscopic nephrectomy at a General Hospital, in Vietnam. The mean age was 53.23 years, the rate of incidental detection of tumors was 8/30. Average tumor size was 5.33cm. Angiomyolipoma was found int 7/30 and renal cell carcinoma (RCC) in 23/30. The transperitoneal approach was used in 13/30. Most (21/30) patients had one renal artery and one renal vein. The mean operative time was 116 minutes, the average blood loss 161 ml, the drainage time five days and the hospital stay six days. Operative complications: minor hemorrhage 2/30; major haemorrhage 1/30. Postoperative complications: 3/30. Conversion to open surgery 1/30. Most (18/30) patients were examined after six months; one case had liver metastases. Laparoscopic nephrectomy (LRN) in the treatment of renal tumors is a safe, effective method and can be done in provincial hospitals. However, in order to make a more accurate conclusion, there is a need for large-scale studies with a longer follow-up time.