Day Case Laparoscopic Nephrectomy With Vaginal Extraction: Initial Experience

Baldini, A.; Golfier, François; Khaled, Mouloud; Ansel, Marie-Hélène Bruge; Navarro, R.; Ruffion, A.; Paparel, P.

doi:10.1016/j.urology.2014.06.084

Cited by 12 publications

(4 citation statements)

References 17 publications

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“…In Urology, several procedures can be done in outpatient surgery: female urethral sling, ACT balloons, male genital organ surgery, and prostate laser surgery. Radical prostatectomies and nephrectomies are currently under investigation [ 6 , 7 ] as well as Percutaneous Nephrolithotomy [ 8 , 9 ] with case reports and small series. Ambulatory surgery is encouraged in all countries by different national health systems with a view to its economic advantages [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Flexible and rigid ureteroscopy in outpatient surgery

et al. 2016

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BackgroundOutpatient surgery is critical to improve health care costs. The aim of the study was to prospectively evaluate the results of outpatient treatment of upper tract urinary stones by rigid or flexible ureteroscopy in a routine care setting.MethodsA database was created at the creation of the outpatient surgery department. 87 patients underwent 100 ureteroscopic procedures for urinary lithiasis from June 2013 to March 2015.ResultsMost of our patients were male with 53 men (sex ratio M/F 1.13), with a mean age of 52.9 ± 15 years old (23.4–82.4). 44 % of ureteroscopies performed were flexible ureteroscopies, 31 % rigid ureteroscopies and 25 % associated rigid and flexible ureteroscopies. The average stone load was 10.1 ± 5.7 mm (2–30) The mean operating time was 58.3 ± 21.1 min (20–150). 82.9 % of patients had a single urinary stone and 17.1 % (n = 14) had 2 or more. 114 stones were treated, 57,1 % intrarenal. There were 6 (6 %) postoperative complications: three Clavien stage 2 infections; three Clavien stage 3b complications (two renal colics requiring ureteral stenting 48 h after discharge and 1 symptomatic perirenal urinoma 48 h after discharge). There was one intraoperative complication (1 %): a ureteral wound with contrast leakage. The rate of transfer to conventional hospitalization was 2.2 %. Stone size influenced the stone-free status (p < 0.0001) and the need for more than one session. There was a significant correlation between operative time and stone size above 10 mm (p < 0.0001).ConclusionsFlexible and rigid ureteroscopy are safe and efficient procedures for upper urinary tract stones and can be carried out in an outpatient department. Stone size had an impact on postoperative stone-free status and operative time.

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Section: Discussionmentioning

confidence: 99%

Flexible and rigid ureteroscopy in outpatient surgery

et al. 2016

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“…18 Baldini et al reported two patients who underwent a laparoscopic (1 was robot assisted) nephrectomy with vaginal extraction for a non-functioning kidney in an ambulatory setting. 19 The reported readmission rates for cholecystectomy are 3.9%, 20 adrenalectomy 0% 14 and pyeloplasty 0%. 15 We had similar results.…”

Section: Discussionmentioning

confidence: 99%

Day-case laparoscopic nephrectomy: Feasibility and safety

Ragavan¹,

Dholakia²,

Baskaran³

et al. 2019

Journal of Clinical Urology

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Purpose: The method of surgery and its recovery play an important part in a success of any surgery. Implementing a minimal invasive approach with enhanced recovery protocol permits Nephrectomy to be performed as a day-case (DC) procedure. Here we report our initial experience with laparoscopic nephrectomy (LN) as DC surgery with an aim to assess its feasibility and safety. Patients and methods: In this retrospective observational study, nine patients underwent DC LN performed by a single surgeon (NR). LN was performed in the standard way followed by enhanced recovery pathway of care for DC. We collected data regarding demographic information, medical co-morbidities, preoperative outcomes, complications and readmission rates. The data was analysed and evaluated. Results: There were four (44.4%) women and five (55.5%) men with a median age of 35 years (range 17–52 years). Eight (88.9%) patients had benign diseases associated with non-functioning kidneys and one (11.1%) patient had a renal tumour. All patients (100%) were successfully discharged the same day with no major complication (Clavien Dindo Grade > I). Readmission rates were 0%. Conclusion: In our small series, DC LN is feasible and safe with a belief that the results are easily reproducible. Increasing experience in laparoscopic surgery with implementation of enhanced recovery protocol may help to increase the success rate of LN as DC.

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“…An alternative would be the possibility to practice nephrectomy vaginally in the example of vaginal hysterectomy. A French study reported the possibility of laparoscopic nephrectomy with vaginal extraction would be somewhat less morbidly for obese patients [7] [8].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Pelvic Kidney in Women at Childbearing Potential: Diagnostic Difficulties and Management in Urology Department of N’Djamena in Chad

Rimtebaye¹,

Mpah²,

Tashkand³

et al. 2015

OJU

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Introduction: We aim to report, from three observations, the diagnostic difficulties and complications, and ensure the management of pelvic kidney in women at childbearing age in the Urology Department of the National General Referral Hospital of N'Djamena. Pelvic kidney is due to an abnormality of the migration that can be associated or not with a malrotation. Its symptomatology is not specific, causing diagnostic difficulties and therapeutic errors. Observation: There were three observations of female patients aged respectively 26, 29 and 32 years who were taken care of for years in the gynecology department for pelvic inflammatory disease before being routed in urology. The diagnosis of pelvic kidney was retained on the basis of morphological examination (ultrasound, intravenous urography, CT urography). The patients have undergone nephrectomy; the postoperative aftermath was simple. Conclusion: Pelvic kidney is a rare disease. It is often discovered during autopsy. Symptoms are non-specific; nephrectomy is the treatment of choice in symptomatic cases.

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Day Case Laparoscopic Nephrectomy With Vaginal Extraction: Initial Experience

Cited by 12 publications

References 17 publications

Flexible and rigid ureteroscopy in outpatient surgery

Flexible and rigid ureteroscopy in outpatient surgery

Day-case laparoscopic nephrectomy: Feasibility and safety

Symptomatic Pelvic Kidney in Women at Childbearing Potential: Diagnostic Difficulties and Management in Urology Department of N’Djamena in Chad

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