Retroperitoneoscopic nephrectomy and nephroureterectomy for benign nonfunctioning kidneys: a single-center experience

Hemal, Ashok K.; Gupta, Narmada P.; Wadhwa, Sanjay; Goel, Apul; Kumar, Rajeev

doi:10.1016/s0090-4295(00)01059-1

Cited by 69 publications

(37 citation statements)

References 19 publications

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“…Compared with the open technique, the laparoscopic approach has been shown to result in decreased blood loss, less postoperative pain, and shorter hospitalization [4]. With laparoscopic nephrectomy, special attention needs to be paid to the management of the renal vascular, to avoid uncontrolled bleeding.…”

Section: Discussionmentioning

confidence: 99%

Application of the Hem-o-lok ligation system in laparoscopic nephrectomy

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Application of the Hem-o-lok ligation system in laparoscopic nephrectomy

et al. 2009

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“…An extremely small incision is required for the removal of the kidney which is a big solid organ. [5] During the postoperative period, the patients experience only a milder degree of pain which decreases requirement for analgesia. [6,7] This condition also effects length of hospital stay favourably.…”

Section: Discussionmentioning

confidence: 99%

Comparison of transperitoneal laparoscopic nephrectomy outcomes in atrophic and hydronephrotic kidneys

Gülpınar

Akçay

Sancak

et al. 2015

Turkish Journal of Urology

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Objective: To compare the results of transperitoneal laparoscopic nephrectomy in patients with atrophic and hydronephrotic kidneys. Material and methods:Clinical data were collected from 35 patients who had undergone laparoscopic nephrectomies for atrophic or hydronephrotic non-functioning kidneys between January 2010 and March 2014. Comparative analysis was carried out between the two groups examining demographic characteristics, imaging modalities, etiology, operative times, port numbers, conversion to open surgery, complications, preand post-operative hemoglobin and creatinine values, transfusion rates and length of hospital stays.Results: Laparoscopic nephrectomy was performed for atrophic kidneys in 20 (57%) patients and for hydronephrotic kidneys in 15 (42%) patients. In the atrophic group, 3 patients (15%) required transfusion because of bleeding but none of the patients required conversion to open surgery. In the hydronephrotic group one patient (6.6%) required transfusion and conversion to open surgery because of bleeding. Both of the groups were similar in terms of postoperative hospital stay but compared to the atrophic kidneys, hydronephrotic ones were associated with a longer total operative times (90.1 min vs. 73.6 min, p=0.03). Any serious complication (except for bleeding) and mortality were not encountered in both groups. Conclusion:Laparoscopic nephrectomy is a safe and effective minimally invasive technique that can be used in atrophic and hydronephrotic non-functioning kidneys.

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“…The use of the retroperitoneoscopic approach for nephrectomy is well described [3,4,5] and is now the preferred technique in our unit. Bilateral synchronous laparoscopic nephrectomy has been previously described in adults, with a reported lower morbidity and mortality than the open technique [6].…”

Section: Discussionmentioning

confidence: 99%

Bilateral laparoscopic nephrectomy with simultaneous peritoneal dialysis: a new era

2004

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Peritoneal dialysis is the treatment of choice in children with end-stage renal failure who are awaiting renal transplantation. Traditionally patients requiring bilateral nephrectomy spent time on haemodialysis prior to being converted to peritoneal dialysis during a separate operation. Bilateral synchronous retroperitoneoscopic nephrectomy with the initiation of or return to peritoneal dialysis in the immediate postoperative period was performed on three patients with end-stage renal failure in our unit. The indications for bilateral nephrectomy were persistent heavy proteinuria in two children and difficult to control hypertension in the third. Bilateral laparoscopic nephrectomy was performed with the patients in the prone position. Two of the children were then placed in a supine position and a tunneled peritoneal dialysis catheter was inserted in the standard open fashion. The postoperative complications included a peritoneal catheter line breach requiring intraperitoneal antibiotics and a fever that was culture negative and settled spontaneously. This technique allows for immediate peritoneal dialysis, with the added benefit of reduced postoperative pain and improved cosmetic appearance.

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Retroperitoneoscopic nephrectomy and nephroureterectomy for benign nonfunctioning kidneys: a single-center experience

Cited by 69 publications

References 19 publications

Application of the Hem-o-lok ligation system in laparoscopic nephrectomy

Application of the Hem-o-lok ligation system in laparoscopic nephrectomy

Comparison of transperitoneal laparoscopic nephrectomy outcomes in atrophic and hydronephrotic kidneys

Bilateral laparoscopic nephrectomy with simultaneous peritoneal dialysis: a new era

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