Three-Dimensional Laparoscopic Nephrectomy for Benign Nonfunctioning Kidneys: A Single-Center Initial Experience

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Technology

Background:

• Benign renal diseases like stones and obstruction cause nonfunctioning kidneys.
• Laparoscopic nephrectomy (LN) is standard for complicated nonfunctioning kidneys.
• 3D laparoscopic nephrectomy (3D-LN) is explored for benign cases.

Purpose of the Study:

• Evaluate initial experiences with 3D-LN for benign, nonfunctioning kidneys.
• Assess safety, efficacy, and outcomes of 3D-LN.
• Compare 3D-LN to traditional 2D laparoscopic approaches.

Main Methods:

• Retrospective evaluation of 40 patients undergoing 3D transperitoneal LN.
• Data collected: demographics, operative details, recovery, complications, 3-month follow-up.
• Study conducted at Hue Central Hospital, Vietnam (July 2021-July 2023).

Main Results:

• Mean age 58.35 years; 67.5% female.
• Urological stones were the primary cause (62.5%); flank pain common reason for admission (82.5%).
• Average operative time 92.57 min, mean blood loss 51.62 ml. Complication rate 8.1%, hospital stay 7.89 days.

Conclusions:

• 3D-LN is safe and effective for benign nonfunctioning kidneys.
• Enhanced depth perception and spatial orientation benefit surgeons.
• 3D-LN overcomes limitations of 2D laparoscopic systems.