Bilateral Hand-assisted Laparoscopic Nephrectomy in Adult Polycystic Kidney Disease Patients: a UK Centre Experience

Overview

Journal J Med Life

Specialty General Medicine

Date 2012 Jul 18

PMID 22802898

Citations 3

Authors

C Mak D K

C P Ilie

A Abedin

L Gommersall

C Luscombe

A Golash

Affiliations

Soon will be listed here.

Abstract

Purpose: We report our experience with bilateral hand-assisted laparoscopic nephrectomy in patients with adult polycystic kidney disease.

Materials & Methods: Between November 2009 and November 2010, 3 patients with adult polycystic kidney disease underwent bilateral hand-assisted laparoscopic nephrectomy in our institution. Indications for bilateral nephrectomy included recurrent cyst hemorrhage, impaired gastrointestinal function and early satiety due to direct intestinal compression by large polycystic kidneys, and anatomical lack of space for future renal transplantation. We retrospectively reviewed the records of these patients and we are reporting our experience.

Results: All three patients successfully underwent bilateral hand-assisted laparoscopic nephrectomy with a mean operating time of 208 minutes (range 195 to 220). There were no conversions to open procedure. Blood loss was less than 100 ml in all cases. Mean renal unit size was of 2037 g (range 1798 to 2214). Hospital stay ranged from 10 to 12 days. One patient developed a chest infection postoperatively and suffered from a prolonged ileus. Another patient developed a retroperitoneal hematoma, which was treated conservatively.

Conclusions: Bilateral hand-assisted laparoscopic nephrectomy is a feasible and safe procedure in adult polycystic kidney disease patients, which has potential benefits of a shorter hospital stay and reduced morbidity and mortality in comparison to open procedure.

Citing Articles

Safety and feasibility of synchronous unilateral nephrectomy and contralateral heminephrectomy for extremely severe autosomal dominant polycystic kidney disease: Techniques and outcome.

Han J, Jeong S, Yuk H, Ku J, Kwak C, Kim H Investig Clin Urol. 2022; 63(3):341-349.

PMID: 35437958 PMC: 9091826. DOI: 10.4111/icu.20210461.

Bilateral Nephrectomy in Patients with Autosomal Dominant Polycystic Kidney Disease and End-Stage Chronic Renal Failure.

Lubennikov A, Petrovskii N, Krupinov G, Shilov E, Trushkin R, Kotenko O Nephron. 2021; 145(2):164-170.

PMID: 33550285 PMC: 8006584. DOI: 10.1159/000513168.

Tailoring the 'Perfect Fit' for Renal Transplant Recipients with End-stage Polycystic Kidney Disease: Indications and Timing of Native Nephrectomy.

Argyrou C, Moris D, Vernadakis S In Vivo. 2017; 31(3):307-312.

PMID: 28438856 PMC: 5461438. DOI: 10.21873/invivo.11060.

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