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lüll Hand-assisted laparoscopy confers equal efficacy in simple and radical nephrectomy Patel SR; Kaplon DM; Moon TD; Hedican SP; Nakada SYJSLS 2011[Apr]; 15 (2): 203-7BACKGROUND AND OBJECTIVES: To evaluate outcomes for simple hand-assisted laparoscopic nephrectomy (HALSN). METHODS: A retrospective chart review was performed at our institution for all patients who had undergone HALSN from January 2002 to January 2009. Thirty-three patients underwent HALSN during this time period and were matched with 33 patients who underwent radical handassisted laparoscopic nephrectomy (HALRN). RESULTS: Operative times were similar between both groups (301 vs 286 min for HALSN vs HALRN; P=.54). There were no intraoperative or postoperative transfusions in either group. There was one conversion to open nephrectomy in the HALSN group in a patient with xanthogranulomatous pyelonephritis and no conversions in the HALRN group. The mean opioid equivalence requirement was not statistically different between both groups (110 vs 120 for HALSN vs HALRN, P=.70). Mean hospital stay was similar for patients undergoing HALSN and HALRN (5.0+/-3.8 days vs 4.0+/-1.2 days, P=.63). There was 1 major complication in the HALSN group (pulmonary embolus) and no major complications in the HALRN group. Rates of minor complications were comparable between the 2 groups (18% vs 24% for HALSN vs HALRN). CONCLUSIONS: HALSN may be associated with similar operative times and length of postoperative hospital stay as well as comparable complication rates compared to HALRN.|Feasibility Studies[MESH]|Female[MESH]|Hand-Assisted Laparoscopy/*methods[MESH]|Humans[MESH]|Kidney Diseases/*surgery[MESH]|Length of Stay[MESH]|Male[MESH]|Middle Aged[MESH]|Nephrectomy/*methods[MESH]|Retrospective Studies[MESH]|Treatment Outcome[MESH] |