Comparison of Open vs Laparoscopic Nephrectomy: Outcomes and Complications.

Falahatkar, Siavash; Enshaei, Ahmad; Allahkhah, Ali Akbar; Asli, Mani Mohiti; Panahandeh, Zahra; Okhovatpoor, Nargess

doi:10.3834/uij.1944-5784.2010.02.01

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…reported 11% intraoperative complications and Falahatkar at al. also reported 25% intra operative complications in laparoscopic nephrectomy which are comparable to our study 16,17 . The two open conversion made due to hilar vascular injury belong to our initial two years of learning.…”

Section: Discussionsupporting

confidence: 90%

Laparoscopic Nephrectomy in Benign Renal Diseases- A Tertiary Hospital Experience

Yaqoob

Ali²,

Dilawar³

et al. 2021

ashkmdc

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ABSTRACT: Objectives: The purpose of our study is to share experience of performing simple laparoscopic nephrectomy in benign cases. Study Design: Descriptive study. Place & Duration of Study: Department of Urology, Jinnah Postgraduate Medical Center (JPMC) Karachi, between Jan 2015 to Dec 2019 with minimal one and half year follow-up. Methodology: Our inclusion criteria were benign symptomatic nonfunctioning kidneys requiring nephrectomy. Laparoscopic nephrectomy was performed under general anesthesia with oblique position with three or four port technique was used. The demographic data, operative and post- operative details were carefully noticed and recorded in SPSS software version 20. Results: Total 40 patients were included in the study. Twenty four were females and 16 were males. Age ranges from 20 to 62 years with mean age of 44.64 + 11.04 years. Left sided were 24 patients (60%) while the right sided in 16(40%). Flank pain was the most common presenting complaint seen in 92.50% patients. Renal stone disease representing the most common indication for nephrectomy (40%) followed by ureteric stone (22.5%), chronic pyelonephritis (17.5%) and PUJO (15%). Our mean operative time was 200.29+47.98. Six patients (15%) were converted to open surgery because of intraoperative complications in 10% of patients including hilar vascular injury and gut injury and failure to progression in two (5%). Among the post- operative complications, early included low grade fever (10%) and wound infection (7.5%) while late included port site hernia (5%) and abscess at renal bed (2.5%). Chronic pyelonephritis was the most common histopathological report representing 45% of total cases. Our success rate was 85%. Conclusion: The role of laparoscopic nephrectomy in benign non-functioning kidneys is a better alternate to open nephrectomy in terms of pain, post-operative recovery and cosmetic results. The operative time and conversion rate can minimize after passing through adequate learning time and experience

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Section: Discussionsupporting

confidence: 90%

Laparoscopic Nephrectomy in Benign Renal Diseases- A Tertiary Hospital Experience

Yaqoob

Ali²,

Dilawar³

et al. 2021

ashkmdc

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“…In semiflank position (mild elevated patient right flank), with transperitoneal subcostal incision, classic right radical nephrectomy was performed. Nephrectomy is recommended in patients with an irretrievably impaired kidney due to symptomatic, chronic infection, calculus disease, or severe traumatic injury [ 14 ]. The mass had severe adhesions to adjacent organs which were released during operation.…”

Section: Case Reportmentioning

confidence: 99%

Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus

Enshaei¹,

Boora

Taheri

et al. 2018

Case Reports in Radiology

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Focal Xanthogranulomatous pyelonephritis is a rare chronic inflammatory condition of kidneys which usually is associated with postrenal obstruction or renal stone leading to chronic bacterial infection and eventually chronic glomerular inflammation. About 90% of cases are of the diffuse type and associated with staghorn renal calculi. The case presented in this paper is of the focal type in a 58-year-old diabetic female. Interestingly she did not have symptoms or laboratory presentation of chronic renal bacterial infection except for elevated ESR. She sought medical attention due to severe pulmonary infection of the background of morbid obesity. Imaging studies revealed several pulmonary lesions and a large mass of the right kidney which was indistinguishable from renal malignancy. After surgical resection of the right kidney, the lesion is pathologically diagnosed to be a focal Xanthogranulomatous pyelonephritis. The pulmonary lesions were spontaneously resolved about three months following right nephrectomy.

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Comparison of Open vs Laparoscopic Nephrectomy: Outcomes and Complications.

Cited by 2 publications

References 6 publications

Laparoscopic Nephrectomy in Benign Renal Diseases- A Tertiary Hospital Experience

Laparoscopic Nephrectomy in Benign Renal Diseases- A Tertiary Hospital Experience

Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus

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