ESPU Congress 2017 - Abstract book

163

19–22 APRIL, 2017, BARCELONA, SPAIN

RESULTS

The overall complications rate was significantly higher after RPN (21/50- 42%) than after LPN (10/52-

19%) [χ2 = 0.05 ]. In LPN group, complications (4 urinomas, 2 symptomatic refluxing distal ureteral

stumps (RDUS) with recurrent UTIs and 4 urinary leakages) were managed conservatively. In RPN

group, complications (6 urinomas, 8 symptomatic RDUS, 6 peritoneal perforations and 1 opening

of remaining calyxes) required a re-operation in 2 patients. Operative time (LPN:166.2 minutes vs

RPN: 255 minutes; p<.001) and hospitalization (LPN: 3.5 days vs RPN: 4.1 days; p<.001) were

significantly shorter in LPN group. No post-operative loss of renal function was reported in both the

groups.

CONCLUSIONS

Our results demonstrated that RPN remains a technically demanding procedure with a significantly

higher complications and re-operation rate compared to LPN, also in expert hands. LPN seems to

be faster, safer and technically easier compared to RPN due to a larger operative chamber avail-

able, a good overall exposure of the anatomy of the kidney and the possibility to perform a complete

ureterectomy in refluxing systems, avoiding to leave a refluxing ureteric stump.

11:03–11:06

S15-7 (PP)

PERI-OPERATIVE OUTCOMES OF LAPAROSCOPIC

AND OPEN ADRENALECTOMIES – 28 YEAR’S EXPERIENCE

Siam Wee SIM, Pankaj MISHRA, Abraham CHERIAN and Imran MUSTHAQ

Great Ormond Street Hospital for Children, NHS Foundation Trust, Department of Paediatric Urology, Singapore,

SINGAPORE

PURPOSE

We compare perioperative outcomes of laparoscopic and open procedures in 57 adrenalectomies

with emphasis on complete resection.

MATERIAL AND METHODS

Retrospective review of all the primary adrenalectomies from April 1988 to April 2016, excluding

neuroblastoma and redo surgeries. The outcomes were compared with Fisher’s Exact Test.

RESULTS

Approach

Laparoscopic

Open

Number

28(21Retro/7trans)

Sex

10males, 15females

16males, 12females

Age

(median, months)

Side

7left,7right,7bilateral

9left,18right,1bilateral

Surgery time

(median,minutes)

122(35-340)

170(60-630)

Weight

(median,grams)

15.6(0.5 – 72.5)

80.0(4.0-1566.0)

Volume

(median,cm

)

30(1-168)

103(2-2243)

Operative capsular

breach

2(Patient 1&2)

Microscopic margins

positive

1(patient 2)