• Ting-Ting Li, Jia Feng, Yan-Ling Li, and Qian Sun.
• Ting-ting Li, Department of Thoracic Surgery, Affiliated Hospital of Hebei University, Baoding 071000, Hebei, China.
• Pak J Med Sci. 2021 Jul 1; 37 (4): 1031-1035.

ObjectiveTo investigate clinical outcomes of open and retroperitoneal laparoscopic nephron-sparing surgery in the treatment of complex renal tumours.MethodsA retrospective case study was conducted. Patients with complex renal tumours admitted to our hospital between January 2018 and September 2019 were enrolled; the included patients (n=40) were divided into the observation group (open partial nephrectomy, n=20) and control group (laparoscopic partial nephrectomy, n=20) according to operation modes. The operation time, renal warm ischaemia time, intraoperative blood loss, renal pedicle blocking time, intestinal function recovery time, postoperative hospital stay, and postoperative complications were recorded.ResultsSignificant differences were noted regarding renal warm ischaemia time, renal pedicle blocking time, intraoperative blood loss, operation time, and postoperative hospital stay between the observation and control groups (P<0.05); however, no significant difference was observed in intestinal function recovery time and postoperative drainage days (P>0.05).ConclusionOpen surgery remains the recommended surgical method for the treatment of few complex tumours in the renal hilus region and has gradually become the renal surgery of choice at present, although laparoscopic surgery has evolved tremendously.Copyright: © Pakistan Journal of Medical Sciences.

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