Retroperitoneoscopic Nephrectomy for Pyonephrotic Kidneys

Modi, Pranjal; Kadam, Gaurang; Goel, Rajiv

doi:10.1089/end.2006.0144

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…The mean hospital stay was 3.6 days (range 2-8) ( 11 ). Similar results were also observed by another study ( 12 ). These data suggest that LRSN is a reliable option for pyonephrotic non-functioning kidneys.…”

Section: Discussionsupporting

confidence: 92%

The Harbin Medical University nephrectomy score: a quantitative system for evaluating the complexity of laparoscopic retroperitoneal simple nephrectomy

Liu

Wang

et al. 2019

Int. braz j urol.

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Background: Laparoscopic retroperitoneal simple nephrectomy (LRSN) has been widely accepted as a mainstay option for benign non-functioning kidney. The complexity of the procedure, however, differs and remains a subject of controversy. Objective: To develop a standardised Harbin Medical University nephrectomy score (HMUNS) system for evaluating LRSN complexity. Subjects and methods: A total of 6 variables with different factors comprising primary diseases, history of upper urinary tract surgery, body mass index (BMI), surgeon's learning curve, kidney volume, and Mayo Adhesive Probability (MAP) scores were included in the HMUN score. 95 consecutive patients who underwent LRSN at our institution were divided into low (2 to 6 points) and high (7 to 17 points) complexity groups with HMUNS and investigated the differences of operative time (OT), estimated blood loss (EBL), postoperative hospitalisation time (PHT), rate of intraoperative conversion to open surgery, and the Clavien-Dindo classification (CDC) between both groups. Results: Longer mean operative times (193.2±69.3 min vs. 151.9±46.3 min, p <0.05), more median estimated blood loss (100.0mL vs. 50.0mL, p <0.05), and higher rates of conversion to open surgery (1.2% vs. 25%, p <0.05) were observed in the high-complexity group (n=12) than in the low-complexity group (n=83). However, there were no remarkable differences between the two groups related to the baseline characteristics, post-surgical hospitalisation times, and postoperative complications. Conclusions: The HMUNS can effectively reflect LRSN complexity, thus providing a quantitative system for risk estimation and treatment decisions. Because of some limitations, further well-designed studies are necessary to confirm our findings. Patient summary: The HMUNS, including primary diseases, history of upper urinary tract surgery, BMI, surgeon's learning curve, kidney volume, and MAP score, can provide an effective quantitative tool to evaluate the complexity of LRSN.

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Section: Discussionsupporting

confidence: 92%

The Harbin Medical University nephrectomy score: a quantitative system for evaluating the complexity of laparoscopic retroperitoneal simple nephrectomy

Liu

Wang

et al. 2019

Int. braz j urol.

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“…This is similar to the situation described by Modi and coworkers. 18 The approach in such patients was similar to that for tuberculous kidneys. The nephrostomy tube was removed immediately before the procedure.…”

Section: Retroperitoneoscopic Nephrectomy 695mentioning

confidence: 99%

Outcome of Retroperitoneoscopic Nephrectomy for Benign Nonfunctioning Kidney: A Single-Center Experience

Gupta

Hemal

Mishra

et al. 2008

Journal of Endourology

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“…The main reasons for the conversion of retroperitoneoscopic resection of the tuberculous kidney to open surgery are major bleeding and difficulty in separating perinephric adhesions (5, 12). In the present study, the renal pedicle was controlled early, before dissecting the tuberculous kidney, to reduce intraoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal laparoscopic nephroureterectomy with distal and intramural ureter resection for a tuberculous non - functional kidney

Yang

et al. 2018

Int. braz j urol.

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Objective: To evaluate the safety and feasibility of total retroperitoneal laparoscopic nephroureterectomy with urinary-bladder junction resection for a tuberculous nonfunctional kidney. Materials and Methods: A total of 27 individuals diagnosed with unilateral nonfunctional kidney secondary to tuberculosis were treated between June 2011 and June 2015. All patients had normal renal function on the contralateral side and underwent the standard four-drug anti-tuberculosis treatment for at least four weeks before surgery. Total retroperitoneal laparoscopic nephroureterectomy was performed in all patients, and the urinary-bladder junction of distal ureter was managed using different auto-suture techniques. Results: Nineteen male and 8 female patients with an average age of 47.3 years (range, 36-64 years) underwent surgery. All the operations were successfully performed without conversion. The median operative time was 109.3 min (range, 75-138 min), the median blood loss was 157.5 mL (range, 70-250 mL), and the median hospitalization time was 3.7 days (range, 3-6 days). No serious perioperative complications occurred. Anti-tuberculosis chemotherapy was prescribed to all patients, with the entire course of treatment lasting six months. No recurrence of tuberculosis of the bladder or the contralateral kidney was observed during the median follow-up period of 26.7 months (range, 6-54 months). Conclusion: Retroperitoneal laparoscopic nephroureterectomy with urinary-bladder junction resection is a safe and feasible approach for the treatment of tuberculous non-functional kidneys.

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Retroperitoneoscopic Nephrectomy for Pyonephrotic Kidneys

Cited by 7 publications

References 9 publications

The Harbin Medical University nephrectomy score: a quantitative system for evaluating the complexity of laparoscopic retroperitoneal simple nephrectomy

The Harbin Medical University nephrectomy score: a quantitative system for evaluating the complexity of laparoscopic retroperitoneal simple nephrectomy

Outcome of Retroperitoneoscopic Nephrectomy for Benign Nonfunctioning Kidney: A Single-Center Experience

Retroperitoneal laparoscopic nephroureterectomy with distal and intramural ureter resection for a tuberculous non - functional kidney

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