Laparoscopic nephrectomy

N. Feldman, R. V. Clayman, N. J. Soper, S. M. Dierks, M. D. Darcy, L. R. Kavoussi, S. Meretyk, F. D. Roemer, E. D. Pingleton, P. G. Thomson, S. R. Long

Research output: Contribution to journalLetterpeer-review

13 Scopus citations


To the Editor: In their letter of May 9, Clayman et al.* report the first laparoscopic nephrectomy. They state that a minimally invasive approach was justifiable because the patient was elderly. Their procedure had an operative time of seven hours and required a 1-unit transfusion and a six-day inpatient hospital stay. In addition, the patient was subjected to possible tumor dissemination. A traditional nephrectomy would probably have had less morbidity. The advanced age of a patient should not be used as an excuse to substitute a glamorous experimental procedure when there is a safe, acceptable, tried and true alternative.

Original languageEnglish (US)
Pages (from-to)1110-1111
Number of pages2
JournalNew England Journal of Medicine
Issue number15
StatePublished - Oct 10 1991

ASJC Scopus subject areas

  • General Medicine


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