Comparison study of laparoscopic or open radical nephrectomy

Abstract

Objective: The aim of this study is comparison the current evidence of laparoscopic radical nephrectomy (LRN) and open radical nephrectomy (ORN) in the treatment of renal cell carcinoma. Method: We used case control study method in our study and case group was LRN control group was ORN analyzed Odds Ratio of complication of 2 groups. We collected patient data who underwent Radical nephrectomy by open and laparoscopic method between 2013 to June 2019 and pathologic diagnose approved RCC in National Cancer Center of Mongolia. Result: We compared surgical blood loss and analyzed Odds ratio in whole period of study/2013-2019/ was 0.7 but last 2 years/2018-2019/ Odds ratio was 0.3 that implies our laparoscopic surgical skill is getting better year by year and complication of LRN is lower than ORN. Conclusion: Laparoscopic radical nephrectomy is approved one of the surgical method of nephrectomy in RCC patients and LRN was found to significantly lower complication rate, surgical time and post-operative length of hospital stay compared open radical nephrectomy. In addition, we need study overall and disease free survival rate of radical nephrectomy.