Comparison of transperitoneal laparoscopic nephrectomy outcomes in atrophic and hydronephrotic kidneys

Gülpınar, Murat Tolga; Akçay, Muzaffer; Sancak, Eyüp Burak; Akbaş, Alpaslan; Tepeler, Abdülkadir; Reşorlu, Berkan; Armağan, Abdullah

doi:10.5152/tud.2015.97523

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…Despite the word simple, the simple laparoscopic nephrectomy procedure in patients with hydronephrotic non-functional kidneys may become a more difficult operation as opposed to the procedure in patients with non-functional small kidneys. In their study, Challacombe et al compared the results of transperitoneal laparoscopic nephrectomy they performed on 11 small non-functional kidneys and 19 giant hydronephrotic non-functional kidneys and they observed a longer duration of operation and more blood loss in patients with hydronephrotic non-functional kidneys [5]. They had used the technique of puncturing and draining the kidney early in the dissection.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Transperitoneal Nephrectomy in Non-functioning Severe Hydronephrotic Kidneys With or Without Renal Stone

Yücel¹,

Ülker²,

Kısa³

et al. 2018

Cureus

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AimTo investigate the effects of the additional presence of nephrolithiasis on the results of laparoscopic simple nephrectomy in patients with severe hydronephrotic non-functional kidneys.Patients and methodsA total of 43 patients in whom severe hydronephrosis had been determined on spiral computerized tomography, who had a renal function of lower than 10% according to the dimercaptosuccinic acid (DMSA) renal scintigraphy, and who had undergone a laparoscopic simple nephrectomy due to persistent renal pain and/or recurrent urinary tract infection and/or unresolved hypertension with multidrug treatment, were included in the study. The patients were divided into two groups based on the presence of renal stone as those with stone formation (Group 1) and those without stone formation (Group 2). The groups were compared with regard to the patients’ demographic characteristics, operation durations, pre- and postoperative hemoglobulin and creatinine levels, percentage of change of postoperative hemoglobulin levels, complications, transfusion requirements, and durations of hospitalization.ResultsOverall, there were 43 patients including 19 patients in Group 1 and 24 patients in Group 2. Although the durations of operations, the durations of hospitalization, and the rates of change of hemoglobulin were higher in the patients in Group 1, these differences were not statistically significant. Postoperative complications were observed in 21 (48.8%) of the 43 patients. Postoperative complications were observed in 13 patients in Group 1 and in eight patients in Group 2. This difference was determined to be statistically significant (p<0.01).ConclusionsWe observed that except for the postoperative complication rates, the laparoscopic nephrectomy results in patients with severe hydronephrotic non-functional kidneys with or without stone were similar.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Transperitoneal Nephrectomy in Non-functioning Severe Hydronephrotic Kidneys With or Without Renal Stone

Yücel¹,

Ülker²,

Kısa³

et al. 2018

Cureus

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“…Hydronephrosis was due to urinary stone disease in six patients. The mean operative time in their series was 90 minutes [12].…”

Section: Discussionmentioning

confidence: 98%

Univariate analysis for prediction of factors affecting outcome of laparoscopic simple nephrectomy

ibrahium

elnasr

Shaker

2023

Fayoum University Medical Journal

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“…However, according to Gülpnar et al (8) , 15 patients had laparoscopic transperitoneal nephrectomy for hydronephrotic non-functioning kidneys. Urologic stone disease caused hydronephrosis in 6 patients.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys

Shaker¹,

Ibrahim²,

Elnasr³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Laparoscopic surgery is increasingly popular for difficult and oncologic treatments, in addition to straightforward ones. Recent developments in minimally invasive surgery and surgical technique result in a shorter hospital stay, decreased mortality, less analgesic use, and improved cosmetic outcomes as compared to open surgery. Objective: The aim of the current study is to identify the predictive factors (etiology, demographic data and clinical characteristics) on the prognosis of laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. Patients and methods: A one-arm clinical trial was conducted at Fayoum University Hospital. A total of 40 patients underwent laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. All participants were subjected to history taking and complete clinical examination to determine their suitability for laparoscopic surgery. Results: Age, sex, the side of the resected kidney and high serum creatinine levels did not significantly affect the success of the laparoscopic nephrectomy. A significant improvement was observed in the operative time, and preventing intra-and postoperative complications. Conclusion: Turbid content of the pelvicalyceal system and history of prior urological intervention were the most important predictive factors for bad prognosis of laparoscopic nephrectomy for hydronephrotic non-functioning kidneys.

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Comparison of transperitoneal laparoscopic nephrectomy outcomes in atrophic and hydronephrotic kidneys

Cited by 7 publications

References 17 publications

Laparoscopic Transperitoneal Nephrectomy in Non-functioning Severe Hydronephrotic Kidneys With or Without Renal Stone

Laparoscopic Transperitoneal Nephrectomy in Non-functioning Severe Hydronephrotic Kidneys With or Without Renal Stone

Univariate analysis for prediction of factors affecting outcome of laparoscopic simple nephrectomy

Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys

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