Pretransplant native nephrectomy in patients with end-stage renal failure: assessment of the role of laparoscopy

Simultaneous bilateral laparoscopic nephrectomy in a child with peritoneal catheter dialysis using a 4-port trans-abdominal technique

“…[1][2][3] It remains a challenging surgery due to the necessity of multiple access ports and the need to move the patient to an opposite decubitus flank position after the first nephrectomy. Despite closing the incision, the initial access port is prone to leakage of fluid or gas during the contralateral nephrectomy.…”

Rapidly Emerging Megaureteral Stump Empyema after Pretransplant Nephrectomy: A Case Report

“…So, the ureteral stump of an infected kidney must be removed with the native kidney down to the urinary bladder securing the vesicoureteral junction to ameliorate the potential risks of infections. It is impossible to advance to kidney transplantation before the complete eradication of infections [1]. Although VURD was bilateral with an old history of infections, native nephrectomies were scheduled in stages in our case.…”

“…It evolves from retained pus in an obstructed stump [3]. It is important to treat an ureteral stump in the pretransplant period as a preparation for kidney transplantation and eradication of infections, which is the most common indication in these cases [1]. The current case is unique in many aspects which may deserve discussion: it was rapidly emerging, of a huge size, with possibly an underlying missing retentive mechanism, and occurred in a pretransplant ESRD patient.…”

“…It is advisable for many reasons [1]. However, ureteral stump complications may develop due to vesicoureteral reflux disease (VURD), infections [2], and retained stones [3].…”

Benefits of Transperitoneal Approach to Bilateral Pretransplant Laparoscopic Nephrectomies in Pediatric Patients

“…Some common causes of end-stage renal disease in this population are high-output renal failure, congenital nephrotic syndrome, posterior urethral valves, and glomerular disease. 1 Removing the native kidneys prevents subsequent complications after transplantation. 2 Additionally, a 1-month period of hemodialysis (HD) allows for correction of fluid shifts and protein loss prior to transplantation.…”