The Safety of Percutaneous Renal Biopsy: An Analysis of 500 Consecutive Cases

Muth, Robert G.

doi:10.1016/s0022-5347(17)63555-9

Cited by 64 publications

(16 citation statements)

References 11 publications

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“…They need some kind of sedation or general anesthesia for renal biopsy to be done under computerized tomography or ultrasound. In addition, PNRB presents some risks, which could lead to renal bleeding, arterio-venous fistulas and renal aneurysms (4,17,18). In laparoscopic approach, blood loss is minimized because biopsy bed is controlled quickly under direct view, which is not possible in PNRB.…”

Section: Commentsmentioning

confidence: 99%

“…In laparoscopic approach, blood loss is minimized because biopsy bed is controlled quickly under direct view, which is not possible in PNRB. Another advantage of LRB is the high positivity about the renal samples (almost 100%) different from the needle method, which is around 90% of renal fragments (12,(16)(17)(18). We believe LRB eliminates the necessity of another procedure.…”

Section: Commentsmentioning

confidence: 99%

“…Cumulative analgesic average dose during hospital stay was 100 mg of tramadol and 500g of dipirone, which we believe to be very low. LRB complication rate ranges from 0.7 to 11% in adults (4,17,18). LRB can be an alternative procedure, as it is minimally invasive, with low complication rate and high successful sampling rate (Table-2).…”

Section: Commentsmentioning

confidence: 99%

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Retroperitoneoscopic renal biopsy in children

et al. 2007

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Objective: We present our experience in a series of 17 consecutive pediatric patients submitted to retroperitoneal laparoscopic renal biopsy. Materials and Methods: Retroperitoneal laparoscopic renal biopsy (LRB) was performed in 5 boys and 12 girls. Mean age was 8.1 years and age range from 2 to 12. Two or three trocars were used to expose the inferior pole of the kidney, remove enough cortical parenchymal specimen and fulgurate the biopsy site. Assessment included surgical time, estimated blood loss, hospitalization period, analgesia requirements, complications and number of glomeruli present in the specimen. Results: LRB was successfully performed in all 15 patients (88%). In two cases, LRB was not possible to be performed. One patient was converted to a transperitoneal laparoscopy due to tear in the peritoneum. The other patient had had previous abdominal surgery and, during retroperitoneal balloon dilation, the peritoneum was opened and the open biopsy was performed. A third patient had postoperatively a perirenal hematoma, which was solved spontaneously. Complication rate was 17.6% (3/17 cases). Mean operative time was 65 minutes, while mean estimated blood loss was 52 mL, mean hospital stay was 2.2 days and mean analgesic requirement was 100 mg of tramadol. The mean number of glomeruli present in the specimen was 60. Conclusion: Retroperitoneal laparoscopic renal biopsy in children is a simple, safe. Bleeding is still the most common complication. However, direct vision usually allows a safe control of this drawback. In our institution, laparoscopic approach is the chosen procedure in pediatric patients older than one -year -old.

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Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

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Retroperitoneoscopic renal biopsy in children

et al. 2007

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“…Microscopic hematuria occurs after 100% of biopsies and cannot be considered a complica tion [8,13]. Gross hematuria can be a serious problem and occurs in 5-7% of patients.…”

Section: Hematuriamentioning

confidence: 99%

“…Many uncommon complications of percutaneous re nal biopsy have been reported, including inadvertent puncture of the spleen [6], mesenteric artery [44], renal artery [8], pancreas [12], liver [12], intestine [6], gall blad der [9] and adrenal gland [26], Urinomas following dam age to the renal pelvis have occurred [6,45]. Laceration of subcostal arteries [14], intercostal A-V fistulae and pneumothoraces [6] have followed percutaneous renal biopsy attempts.…”

Section: Miscellaneous Complicationsmentioning

confidence: 99%