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 intraoperative | 5% | 0% | .02 | Renal/urological | 11% | 2% | .01 | Median surgical time (hours) | | 3 | 3.9 | <.001 | Blood loss (mL) | | 125 | 250 | <.001 | Mean warm
ischemia time (minutes) | | 27.8 | 7.5 | <.001 | Median analgesic requirement
(morphine sulfate equivalents, mg) | | 20.2 | 252.5 | <.001 | Hospital stay (days) | | 2 | 5 | <.001 | Average
convalescence (weeks) | | 4 | 6 | <.001 | Median preoperative serum creatinine (mg/dL) | | 1.0 | 1.0 | .52 | Median
postoperative serum creatinine (mg/dL) | | 1.1 | 1.2 | .65 |
|
|
PN: Partial nephrectomy.
|