Comparison of outcome indicators between transabdominal and retroperitoneal laparoscopic radical nephrectomy for large volume renal university carcinoma in a single center

Objective To compare the efficacy of laparoscopic surgery through transabdominal and retroperitoneal approaches in the treatment of large volume renal cell carcinoma.

Methods Sixty patients with large volume renal cell carcinoma were selected and divided into a transabdominal surgery group (transabdominal group) and a retroperitoneal surgery group (retroperitoneal group). The clinical indicators and incidence of postoperative complications of patients were compared between the two groups.

Results The operation time, postoperative ventilation time, and postoperative hospital stay in the transabdominal group were shorter than those in the transabdominal group, the postoperative 24-hour pain score was lower than that in the transabdominal group, but the amount of bleeding was higher than that in the transabdominal group, and the differences were statistically significant (P<0.05 to P<0.01). There was no statistically significant difference between postoperative complication between the two groups (P>0.05).

Conclusions Both surgical methods are safe and effective in treating large volume renal cell carcinoma. But the transabdominal approach has a shorter surgical time, earlier postoperative ventilation, faster recovery, and is worth choosing.