Simultaneous bilateral native nephrectomy by retroperitoneal approach

Jarzemski, Piotr; Listopadzki, Slawomir; Słupski, Piotr; Jarzemski, Marcin; Brzoszczyk, Bartosz

doi:10.1590/s1677-5538.ibju.2018.0435

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Complications related to laparoscopy and open surgery occurred in 17 (34 %) of patients like thrombocytopenia, fever, hyperkalemia, hypertension, ileus, pneumonia, pneumothorax, septic shock, SSI, hyperglycemia, bleeding and PONV were reported. The advantages of laparoscopy in reducing the postoperative pain, a shorter hospital stay, earlier return to normal activities, and improved cosmetic compared with the open approach are well documented [15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Nephrectomy indications in kidney diseases: 10-years’ experience study

Albadran,

Mezban,

Alfadli

et al. 2023

KIDNEYS

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Background. Nephrectomy, a performance surgery in urology practice, may lead to an irreversibly kidney injuries during surgical removal. This study aims to describe 10-years of experience with nephrectomy, its indications and complications in kidney diseases. Materials and methods. Data for all the patients who underwent nephrectomy were collected including demographics, age, sex, education, smoking, alcohol consumption, aetiology, past medical and surgical history and comorbidity. Indications for nephrectomy were stones, obstruction, tumors, pyelonephritis and autosomal dominant polycystic kidney disease. Among complications, thrombocytopenia, fever, hyperkalemia, hypertension, ileus, pneumonia, pneumothorax, septic shock, surgical site infection, hyperglycemia, bleeding and postoperative nausea and vomiting were recorded. Preoperative preparation included laboratory tests such as complete blood count, renal function test and liver function test. It is reasonable to perform renoscintography before nephrectomy to consider partial nephrectomy. However, in our study we performed it routinely because nearly all patients underwent ultrasonography or/and computed tomography scan of abdomen/pelvis to detect pathologies. A percutaneous polyurethane catheters or stents were placed. A guidewire was inserted into the kidney via the rigid cystoscope. Results. A total of 50 nephrectomies were performed. The median age of patients was 45 years ranging from 14 to 73 years. About 60 % of the patients were females and 40 % were males. Patients were educated (48 %), smoking (56 %), alcoholic (12 %), with past medical and surgical history (50 %), comorbidities (46 %) and lived in rural region (44 %) and urban areas (56 %). Stones and obstruction accounted for the majority of cases, 52 and 36 %, respectively. Most of the nephrectomies were performed with laparoscopic approach (58 %). Open surgery was done in 15 cases (30 %) because of adhesions and emphysema. Complications related to laparoscopy and open surgery occurred in 17 (34 %) of patients. Thrombocytopenia, fever, hyperkalemia, hypertension, ileus, pneumonia, pneumothorax, septic shock, surgical site infection, hyperglycemia, bleeding and postoperative nausea and vomiting were recorded. Conclusions. Stone disease and obstruction were the most common benign conditions requiring nephrectomy. The laparoscopic approach can be feasible for most benign kidney diseases requiring nephrectomies with adequate expertise. Сomplication rate in it is comparable with that of open surgery.

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Section: Discussionmentioning

confidence: 99%

Nephrectomy indications in kidney diseases: 10-years’ experience study

Albadran,

Mezban,

Alfadli

et al. 2023

KIDNEYS

View full text Add to dashboard Cite

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“…Further advantages include ease of kidney access by developing the existing potential retroperitoneal space and avoidance of the transperitoneal approach with the resultant reduced risk of injury to and interference from intra-abdominal organs. 16 Pre-transplant screening for cancer in the native kidney is controversial. However, it has been advocated as RCC has been reported to be bilateral in 20% of ESRD patients.…”

Section: Rcc In Native Kidneysmentioning

confidence: 99%

Urological malignancies in kidney transplant recipient patients

Hong Min,

Ong,

Ho Yee

2023

Insight Urol

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Comparison between retroperitoneal laparoscopic nephrectomy and traditional open nephrectomy to treat polycystic kidney disease before kidney translantation

Lyu

Zhu

2022

Preprint

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Objective: To compare the efficiency and safety between retroperitoneal laparoscopic nephrectomy and traditional open nephrectomy to treat autosomal-dominant polycystic kidney disease before kidney transplantation. Materials and Methods: A total of 57 patients diagnosed with huge autosomal-dominant polycystic kidney disease between 2000 and 2020 at our center were included in this study.Patients were divided into a retroperitoneal laparoscopic (RL; n=23) group and traditional open (TO; n=34) group. We retrospectively analyzed and compared preoperative and perioperative variables between the two groups. Result: Patients in the RL group showed a longer operation time (201.09±83.76min) compared to patients in the TO group (113.38±51.84min, p＜0.001). The RL group also showed significantly less intraoperative blood loss (p=0.025) and less intraoperative blood transfusion volume (p=0.016) compared to the TO group. Meanwhile, time of gastrointestinal function recovery, bed leave, catheter indwelling and postoperative hospitalization in the RL group were 2.13±0.63, 1.30±1.0, 5.22±2.09, 7.35±2.48 days, respectively, which were significantly shorter than the TO group (p＜0.05). Pain degree of patients during the first 48 hours after operation was similar between the RL and TO groups, but Opioid use percentage in the RL group was 8.70% (2/23) and was lower than the 26.47% (9/34) in the TO group (p=0.022). Meanwhile, 5 and 23 patients exhibited postoperative complications in the RL and TO groups, respectively (p＜0.001). Conclusion: Both retroperitoneal laparoscopic nephrectomy and traditional open surgery are feasible to treat huge polycystic nephrectomy. However, patients who undergo retroperitoneal laparoscopic nephrectomy experience higher levels of safety and recover more rapidly.

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Simultaneous bilateral native nephrectomy by retroperitoneal approach

Cited by 3 publications

References 19 publications

Nephrectomy indications in kidney diseases: 10-years’ experience study

Nephrectomy indications in kidney diseases: 10-years’ experience study

Urological malignancies in kidney transplant recipient patients

Comparison between retroperitoneal laparoscopic nephrectomy and traditional open nephrectomy to treat polycystic kidney disease before kidney translantation

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