Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11463
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dc.contributor.authorJack, Gregory Sen
dc.contributor.authorLua, Mabelen
dc.contributor.authorChan, Yeeen
dc.contributor.authorBolton, Damien Men
dc.date.accessioned2015-05-16T01:04:29Z
dc.date.available2015-05-16T01:04:29Z
dc.date.issued2012-04-01en
dc.identifier.citationBJU International; 109 Suppl 3(): 35-9en
dc.identifier.govdoc22458491en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/11463en
dc.description.abstractTo examine the early outcomes and complications of integrating laparoscopic partial nephrectomy (LPN) into a public teaching hospital in Australia.An outcomes review from prospectively collected data on our initial 50 cases of LPN. The median follow-up was 36 months with a minimum follow-up of 2 years and a maximum of 5 years.The mean patient age was 60 years, mean tumour size was 2.9 cm, and mean baseline creatinine concentration was 79 ┬Ámol/L. One patient had a solitary kidney, and one patient had bilateral tumours. The mean operative duration was 168 min, with a mean warm ischaemia time of 25 min. The median blood loss was 100 mL and the median (range) hospital stay was 4 (2-12) days. The complication rate was 6%, including two instances of secondary haemorrhage, and one port-site hernia. No patient required conversion to radical nephrectomy or experienced clinically significant deterioration in their renal function. There have been no local or systemic recurrences to date, with a maximum follow-up of 5 years.LPN can be successfully integrated into the Australian public health care sector as standard of care for stage 1 renal masses requiring treatment. Due to the inherent risk of bleeding early in the learning curve, cases should be performed in the setting of adequate surgical and interventional radiographic support.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherCarcinoma, Renal Cell.surgeryen
dc.subject.otherFemaleen
dc.subject.otherFollow-Up Studiesen
dc.subject.otherHospitals, Publicen
dc.subject.otherHumansen
dc.subject.otherKidney Neoplasms.surgeryen
dc.subject.otherLaparoscopy.utilizationen
dc.subject.otherLength of Stayen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherNephrectomy.methods.utilizationen
dc.subject.otherProspective Studiesen
dc.subject.otherTime Factorsen
dc.subject.otherTreatment Outcomeen
dc.subject.otherVictoriaen
dc.titleIntegration of laparoscopic partial nephrectomy into an Australian public hospital: three-year follow-up of our initial 50 cases.en
dc.typeJournal Articleen
dc.identifier.journaltitleBJU Internationalen
dc.identifier.affiliationgsj1@cornell.eduen
dc.identifier.affiliationDivision of Urology, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1111/j.1464-410X.2012.11043.xen
dc.description.pages35-9en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/22458491en
dc.type.austinJournal Articleen
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