Faisal Iftikhar Ahmed Ghumman, Mishal Iqbal, Mehwash Nadeem, Seemin Nazad, Mehak Iqbal, Haider Iktikhar.
The role of surgical patient enhancement team (SPET) in post operative recovery of patients who underwent laparoscopic radical nephrectomy through trans-peritoneal versus rtroperitoneal access.
Pak Armed Forces Med J Jan ;70(1):147-52.

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 clinico-pathological 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.

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