Akademik Veri Yönetim Sistemi
Journal of Urological Surgery, cilt.12, sa.4, ss.243-248, 2025 (ESCI, TRDizin)
Objective: The aim of this study was to demonstrate our clinical experience on the impact of the choice between open partial nephrectomy (OPN) and laparoscopic partial nephrectomy (LPN) on achieving optimal oncological outcomes, perioperative parameters, postoperative recovery and patient comfort, and long-term kidney function in patients undergoing these surgical methods. Materials and Methods: Data from 127 patients who underwent partial nephrectomy between December 2020 and March 2024 were retrospectively reviewed, with 47 patients in the LPN group and 80 in the OPN group. The patients’ demographic information, tumor sizes, complications, and perioperative and postoperative data were compared. Results: It was found that patients undergoing OPN had larger tumor sizes and higher PADUA scores compared to the LPN group (p<0.001 and p=0.011, respectively). LPN showed an advantage in terms of lower average blood loss (p<0.001), while OPN was advantageous in terms of shorter warm ischemia time (p=0.001). Patients in the LPN group had shorter hospital stays and required fewer transfusions (p<0.001 and p=0.021, respectively). When complications and pathology results were evaluated, outcomes were similar in both groups. The decrease in glomerular filtration rate was found to be less in the LPN group compared to the OPN group (p=0.008). Conclusion: LPN offers advantages over OPN, including less perioperative bleeding, lower morbidity, and shorter hospital stays. However, the longer warm ischemia time in LPN should be considered alongside these benefits.