LAPAROSCOPIC RADICAL NEPHRECTOMY: DOES INCISION MATTERS?

LÓPEZ FONTANA G; LÓPEZ LAUR JD; LÓPEZ FONTANA C; LÓPEZ FONTANA R

Buenos Aires

Congreso; 36° Congress of the Société Internationale d´Urologie; 2016

Sociedad Argentina de urologia

Introduction and Objective: Laparoscopic radical nephrectomy (LRN) has become the gold standard treatment for renal masses not feasible to nephron sparing surgery in order to avoid so painful incision such us lumbotomy. Usually, expanded port site incision is performed for intact specimen extraction. Pfannenstiel incision demonstrated to have less incisional hernia and, probably less pain. Therefore, the aim is to compare Pfannenstiel incision versus expanded port site incision for intact specimen extraction during laparoscopic radical nephrectomy.Materials and Methods: Ten patients between 50 and 80 years old who underwent LRN were randomly divided into 2 groups; those who specimen extraction was performed through a Pfannenstiel incision (n=5) and those through port site expanded incision (n=5). We analyzed age, body mass index (BMI), tumor localization, size (cm), surgical time (min), perioperative and incision complications, incision size, hospital stay (hs) and return to work. Finally, pain score was analyzed using visual analog score. Statistical analysis was performed using Student T test (p