The role of surgical patient enhancement team (spet) in post operative recovery of patients who underwent laparoscopic radical nephrectomy through trans-peritoneal versus retroperitoneal access | [Pakistan Armed Forces Medical Journal • 2020]

Author(s):

1. Faisal Iftikhar Ahmed Ghumman: Medway NHS Trust Hospital, Urology, United Kingdom

2. Mishal Iqbal: Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi, Urology, Pakistan

3. Mehwash Nadeem: Medway NHS Trust Hospital, Urology, United Kingdom

4. Seemin Nazad: Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

5. Mehak Iqbal: Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

6. Haider Iftikhar: Medway NHS Trust Hospital, Urology, United Kingdom

Abstract:

Objective: To evaluate the impact of surgical patient enhancement team (SPET) in post-operative recovery of patients who had laparoscopic radical nephrectomy through Trans-peritoneal versus retroperitoneal access. Study Design: Quasi experimental study. Place and Duration of Study: Medway NHS Trust Hospital for renal masses, United Kingdom, from Aug 2013 and Oct 2014. Methodology: During our study duration ninety patients underwent Laparoscopic Radical nephrectomy at Medway NHS Trust Hospital for renal masses. Fifty three patients had Laparoscopic Trans-peritoneal Nephrectomy (LTN) and 23 had Laparoscopic Retroperitoneal nephrectomy (LRN). Demographic and clinicopathological parameters were compared for the two groups. Results: The two groups were comparable for age, gender, pre and post-operative blood parameters, length of hospital stay and post-operative complication. The analgesia requirement was statistically significant for Laparoscopic Trans-peritoneal nephrectomy group with high pain score however with the involvement of surgical patient enhancement team the patients were safely discharged home on a comparable date to Laparoscopic Retroperitoneal nephrectomy group. Conclusion: The two approaches are comparable and with the added support of surgical patient enhancement team, the patients with Trans-peritoneal radical nephrectomy could be safely and efficiently discharged.

Page(s): 147-152

DOI: DOI not available

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 70, Issue: 1, Year: 2020

Keywords:

Laparoscopic , Renal cell carcinoma , Postoperative recovery , Radical nephrectomy

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