Review Article

Open Partial Nephrectomy in the Management of Small Renal Masses

Table 4

Comparison of laparoscopic versus open PN in patients with a solitary renal tumor of 7 cm or less in size (table modified from [30]).

Laparoscopic PN ( ) Open PN ( ) P

Complications:Major intraoperative5%0%.02
Renal/urological11%2%.01
Median surgical time (hours)33.9<.001
Blood loss (mL)125250<.001
Mean warm ischemia time (minutes)27.87.5<.001
Median analgesic requirement (morphine sulfate equivalents, mg)20.2252.5<.001
Hospital stay (days)25<.001
Average convalescence (weeks)46<.001
Median preoperative serum creatinine (mg/dL)1.01.0.52
Median postoperative serum creatinine (mg/dL)1.11.2.65

PN: Partial nephrectomy.