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 language||English (US)|
|Number of pages||2|
|Journal||New England Journal of Medicine|
|State||Published - Oct 10 1991|
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