Nephroureterectomy

Landman et al. (34) compared 11 standard transperitoneal laparoscopic and 16 handassisted laparoscopy nephroureterectomies. The authors already had extensive prior experience with standard transperitoneal laparoscopic nephroureterectomy. Nonetheless, they found that hand-assisted laparoscopy reduced mean operative time by 72 minutes but did not alter significantly any measure of the intensity and duration of convalescence. The length of hospital stay did tend to be longer in the hand-assisted group, but the difference was not statistically significant (3.3 days vs. 4.5 days).

In a report by Okeke and associates, although the operative time for laparoscopic radical nephrectomy was not improved by hand-assisted laparoscopy, the operative time for nephroureterectomy was reduced by 66 minutes compared to standard laparoscopy.

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