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Related Experiment Videos

Laparoscopic nephrectomy for infected, obstructed and non-functioning kidneys.

Ran Katz1, Dov Pode, Dragan Golijanin

  • 1Departments of Urology and General Surgery, Hadassah and Hebrew University Medical Center, Jerusalem, Israel. rank@cc.huji.ac.il

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 16, 2004
PubMed
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Laparoscopic nephrectomy is feasible for kidneys with severe perirenal fibrosis. This minimally invasive approach is safe for obstructed, infected, and non-functioning kidneys, offering an acceptable complication rate.

Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic nephrectomy's applicability in cases with extensive perirenal fibrosis remains debated.
  • Obstructed, infected, non-functioning kidneys present unique surgical challenges.

Purpose of the Study:

  • To evaluate the feasibility and safety of laparoscopic nephrectomy in patients with severe perirenal fibrosis.
  • To assess outcomes in patients with obstructed, infected, non-functioning kidneys undergoing laparoscopic nephrectomy.

Main Methods:

  • Retrospective analysis of 20 consecutive patients undergoing laparoscopic nephrectomy.
  • Preoperative assessment included imaging (ultrasound, CT, IVP, renal scan) and urine cultures.
  • Procedures utilized transperitoneal or retroperitoneal approaches; conversion to open surgery was recorded.

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Main Results:

  • Mean patient age was 52 years; 15 patients had prior stone disease causing obstruction.
  • Mean operative time was 224 minutes, with one conversion to open surgery due to splenic injury.
  • Mean hospital stay was 3 days, indicating efficient recovery.

Conclusions:

  • Laparoscopic nephrectomy is a viable option for obstructed, infected, non-functioning kidneys, even with severe perirenal fibrosis.
  • The procedure demonstrates an acceptable complication rate in this challenging patient cohort.
  • Minimally invasive nephrectomy should be considered for these complex cases.