Nayak, PrasantNayak, AditiHota, Anima2025-05-092025-05-092024-07Nayak Prasant, Nayak Aditi, Hota Anima . Outcomes of Laparoscopic Radical Nephrectomy and Factors Predicting Successful Outcomes. International Journal of Medical Research & Health Sciences. 2024 Jul; 13(7): 19-232319-5886https://imsear.searo.who.int/handle/123456789/244912Purpose: For renal malignancies, laparoscopic radical nephrectomy is the current standard of care. However, we have observed that a radical nephrectomy is often more challenging than expected even in the most experienced hands. Here, we assess the outcomes that determine a successful radical nephrectomy. Methods: In this retrospective analysis of a prospectively maintained database, between January 2019 and July 2022, patients who had laparoscopic radical nephrectomy were assessed. Total surgical time, intra-operative blood loss postoperative complications, and length of hospital stay were analyzed. Results: Analysis was done on 106 patients. The mean age was 55.33 years ± 12.17 years. Mean operative time 166.79 mins ± 40.11 mins, Blood loss of more than 400 ml was seen in 2 patients (1.8%) and twenty-seven patients required blood transfusions (25%). Conclusion: The term “Simple nephrectomy” is perhaps a misnomer. In a centre of excellence in laparoscopic surgery such as ours, these simple nephrectomies carry longer operative times, comparable rates of surgical complications, and similar hospital stays. Our findings suggest that pre-procedure planning to determine who would benefit most from it is essential while factors such as stone disease or pre-procedure DJ stenting/PCN would perhaps make the procedure more challenging.ComplicationsRadical nephrectomySimple nephrectomyTerminologyOutcomes of Laparoscopic Radical Nephrectomy and Factors Predicting Successful OutcomesJournal ArticleIndiaDepartment of Urology, Assitant Professor, All India Institute of Medical Sciences, Bhubaneswar, Odisha, IndiaDepartment of Pathology, Assistant Professor, IMS & SUM Hospital, Bhubaneswar, Odisha, IndiaDepartment of Pathology, Assistant Professor, IMS & SUM Hospital, Bhubaneswar, Odisha, India