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Hand-assisted laparoscopic renal surgery is safe and effective with a smaller learning curve than standard laparoscopy.
Washington-Hand-assisted laparoscopic renal surgery is safe and effective with a smaller learning curve than standard laparoscopy, say researchers from the University of Wisconsin Hospital and Clinics, Madison.
Nathan W. Moore, MD, and colleagues reported their experience with 228 consecutive patients who underwent some form of hand-assisted laparoscopic nephrectomy using a sleeve. Their overall complication rate was 26%, a figure that decreased by almost half over the course of the 10-year study period.
"We were interested in what our complication rate might be and to see if there were any potential contributing factors in those patients who did suffer a complication," said Dr. Moore, a urology resident working with Stephen Y. Nakada, MD, and colleagues.
Dr. Moore reported the findings at the 2010 American College of Surgeons Clinical Congress in Washington, and the data were recently published online in Urology (Feb. 26, 2011).