Laparoscopic nephrectomy for adult polycystic kidney disease (APKD): safety, feasibility and early outcomes

Optimized Retroperitoneoscopic Excision of Large (>25 cm) Adult Polycystic Kidneys Using 3-Dimensional Image Reconstruction and Preresection Ultrasound-Guided Aspiration

“…In a recent review of laparoscopic management of polycystic kidneys, we have observed a complication rate ranging between 0% and 25%. 6 There were no intraoperative or immediate postoperative complications in the present study. Our approach based on careful preoperative planning using manual segmentation could be a reason for this, especially during the learning curve.…”

“…Retroperitoneoscopic space was created using commercial balloon (Auto Suture; Tyco Healthcare, Norwalk, CT, USA) and 3 ports were placed as shown in our previous publication. 6 Detailed CT scan images and planning of retroperitoneocopic approach is shown in Figure 1.…”

“…In a systematic literature review, we found that the retroperitoneoscopic nephrectomy for polycystic kidneys has been performed by only a few surgeons from largevolume centers 6 ; however, to the best of our knowledge, not in massively large kidneys and with assistance of ultrasound aspiration and preoperative 3D reconstruction of images. Here, we present the technical details of the procedure, application of careful preoperative planning using 3D image reconstruction and preresection ultrasound-guided aspiration of larger cysts in the treatment of polycystic kidneys in dialysis-dependent patients.…”