Comparative analysis of intraoperative and postoperative complications of singleand multi-port laparoscopic nephrectomy

Z.A. Kadyrov, A.Y. Odilov, A.S. Kolmakov

Chair of endoscopic urology of the Faculty of training health workers Medical Institute of the Russian Peoples’ Friendship University

The paper summarizes the results of the analysis data of survey and treatment 79 patients after a single-port and multi-port laparoscopic nephrectomy. Intraoperative complications ofsingle-port and multi-port nephrectomy were noted in 3 (8,11%) and 9 (21,43%) patients, postoperative complications - in 8 (21,62%) and in 10 (23,81%) patients, respectively.

Based on the analysis 37 laparoscopic nephrectomies from a single access, the learning curve was 21 (56.80%) surgery, and in 16 (43,20%) as the latter cases, intraoperative and postoperative complications weren’t observed.

Conducted clinical studies have shown that single nephrectomy laparoscopic approach reduces the frequency setting of the second additional port and extraumbilical SILS-port, almost in 2 times - from 66,67% to 37,50%, and may be the method of choice and a valuable alternative to the traditional multiport laparoscopic nephrectomy in renal disease.

Keywords: single laparoscopic approach, single-port laparoscopic nephrectomy , multiport laparoscopic nephrectomy.

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