Laparoendoscopic single-site simple nephrectomy and reduced port procedure for inflammatory nonfunctioning kidney

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• This study describes two minimally invasive surgical techniques: laparoendoscopic single-site simple nephrectomy and reduced port simple nephrectomy.
• These procedures were performed for inflammatory, nonfunctioning kidneys, aiming to assess their feasibility and outcomes.

Observation:

• Two cases are presented: a 58-year-old female with a nonfunctioning right kidney and a 64-year-old male with a nonfunctioning left kidney and a history of abdominal surgeries.
• Computed tomography revealed significant kidney atrophy and hydronephrosis in both patients.
• Renography indicated near-complete loss of function in the affected kidneys prior to surgery.

Findings:

• Transperitoneal reduced port simple nephrectomy was performed in Case 1, and retroperitoneal laparoendoscopic single-site simple nephrectomy in Case 2.
• Despite minor adhesions in Case 1, both procedures were completed without conversion to open surgery or the need for additional ports.
• The surgeries were successful in removing the nonfunctioning kidneys using the described minimally invasive approaches.

Implications:

• Laparoendoscopic single-site simple nephrectomy and reduced port simple nephrectomy represent potential surgical options for inflammatory nonfunctioning kidneys.
• These techniques may be suitable for experienced laparoscopic surgeons seeking to minimize surgical invasiveness.
• Further research could explore the broader application and long-term outcomes of these nephrectomy approaches.