Comparing laparoscopic and percutaneous renal biopsy for diagnosing native kidney disease: A matched pair analysis

Aoun, Fouad; Mansour, Ramin; Chalouhy, Charbel; Ruck, Jessica J.M.; Albisinni, Simone; Finianos, Serge; Azar, Hiba; Chelala, Dania; Ghorra, Claude; Roumeguère, Thierry; Moukarzel, M

doi:10.1016/j.purol.2018.10.005

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…Furthermore, the amount of kidney tissue obtained from PKB is inadequate for diagnosis in some cases. There is a study compared the sample acquisition rates of LRB and PKB, demonstrating that LRB was associated with a greater number of glomeruli (50, 20-77) compared to PKB (10, 7-15) [ 15 ]. The present study also confirmed that adequate samples could be obtained by LRB.…”

Section: Discussionmentioning

confidence: 99%

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Safety and effectiveness of laparoscopic renal biopsy: a single-center review and meta-analysis

Xu,

Bian,

Yang

et al. 2024

Renal Failure

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Background While renal biopsy remains the preferred diagnostic method for assessing proteinuria, hematuria, or renal failure, laparoscopic renal biopsy (LRB) can serve as an alternative for high-risk patients when percutaneous kidney biopsy (PKB) is not recommended. This study was aimed to evaluate the safety of LRB. Methods In study 1, Fourteen patients from January 2021 to January 2023 had a LRB taken for various indications, such as morbid obesity, abnormal kidney construction, uncontrolled hypertension, and coagulopathy. We also conducted a Meta-analysis of the success rate and complication rate of previous LRB in study 2. Results All the patients completed biopsies and adequate renal tissues were obtained. The success rate was 100%. The median number of glomeruli obtained was 22.5 (range:12.0, 45.0). The complication rate was 7.1% (urinary tract infection). There were no significant differences between levels of hemoglobin, serum creatinine, and urinary NAGL before and after surgery. In the meta-analysis, the success rate of operation, satisfactory rate of sample, and complication rate of surgery were 99.9%, 99.1%, and 2.6% respectively. Conclusion LRB can achieve a good success rate and specimen retrieval and does not increase the risk of complications for high-risk patients. It can present as one of the alternative methods for patients with glomerular diseases.

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Section: Discussionmentioning

confidence: 99%

“…The first LRB was reported in 1991 by an American urologist [ 13 ]. In the past two decades, the effectiveness and safety of LRB have been observed in several studies and showed that adequate tissues can be obtained by this procedure [ 14 , 15 ]. Also, LRB can be applied in children [ 9 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Safety and effectiveness of laparoscopic renal biopsy: a single-center review and meta-analysis

Xu,

Bian,

Yang

et al. 2024

Renal Failure

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“…Similar complications were reported by Rawlings et al (2003) and Park et al (2017) , when specimens obtained using an 18G needle occasionally contained fragments of skeletal muscle, spleen, small intestine, and other tissues. Furthermore, the main complications such as severe hemorrhage, perirenal hematoma, hematuria, secondary hydronephrosis, and formation of an arteriovenous fistula, were seen in the postoperative period ( Aoun et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

“…According to Crivellenti et al (2018) , samples obtained by the laparoscopic approach are associated with a greater possibility of inadvertent biopsies of the renal medullary tissue. However, most studies consider that laparoscopy allows direct visualization of the kidney during biopsy, allowing selective sampling of specific portions of the organ, as well as visual control of sample collection and hemostasis ( Aoun et al, 2019 ; Maia et al, 2021 ; Nowicki et al, 2010 ; Park et al, 2017 ; Rawlings et al, 2003 ; Vaden, 2005 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although pneumoperitoneum is effective and safe in most healthy patients, renal side effects have been detected during and after laparoscopy ( Aoun et al, 2019 ). Animal studies have demonstrated that high pressures can decrease venous return, compress the renal vasculature, and cause systemic hormonal changes, significantly reducing renal blood flow, urinary output, and glomerular filtration rate ( Demyttenaere et al, 2007 ).…”

Section: Introductionmentioning

confidence: 99%

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Gasless laparoscopic renal biopsy in canine cadavers: a preclinical study

Milech,

Antunes,

Caye

et al. 2023

Braz. J. Vet. Med.

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In this study we aimed to analyze the feasibility of the gasless renal biopsy technique in canine cadavers. The cadavers were randomly divided into two groups: laparoscopic GCG, in which gasless laparoscopy was performed and GCP, laparoscopy with pneumoperitoneum was performed. The procedures were randomly performed on the right and left kidneys. The total surgical time, procedural steps, and intraoperative complications were recorded. The degree of difficulty of the surgical approaches was evaluated by the surgeon, assistant, and external evaluators. Renal samples were evaluated for quality, number of glomeruli, and proportion of renal cortex. The total operative time was higher in the GCG group than in the GCP group (p < 0.01). Additionally, positioning of the second portal and platform positioning took longer than the other steps. The surgical groups differed from each other in the Likert scale values for almost all the parameters regarding the difficulty of the surgical approaches (p < 0.05), with higher scores in the GCG group than in the GCP group. Based on the video recordings, the GCP group had higher scores than the GCG group for degrees of difficulty of the approach (p < 0.05). Renal histological parameters were similar between the surgical groups and surgical sides. Our study findings indicate that the proposed gasless renal biopsy technique is feasible. The longer operative time and technical difficulties in the gasless approach did not affect the quality of the renal specimens.

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Laparoscopic Diagnostic Techniques

Bertoletti,

Hendrickson

2024

Advances in Equine Laparoscopy

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Comparing laparoscopic and percutaneous renal biopsy for diagnosing native kidney disease: A matched pair analysis

Cited by 4 publications

References 14 publications

Safety and effectiveness of laparoscopic renal biopsy: a single-center review and meta-analysis

Safety and effectiveness of laparoscopic renal biopsy: a single-center review and meta-analysis

Gasless laparoscopic renal biopsy in canine cadavers: a preclinical study

Laparoscopic Diagnostic Techniques

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