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

Carli, Claudio De; Guerra, Luis

doi:10.5489/cuaj.2465

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…The indications for surgery in our patients, as reported by other authors, were recurrent urinary tract infections in the course of urolithiasis, reflux and/or glomerulonephritis accompanied by difficulty to treat arterial hypertension (1,(12)(13)(14)(15)(16)(17).…”

Section: Discussionsupporting

confidence: 68%

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Simultaneous bilateral native nephrectomy by retroperitoneal approach

et al. 2020

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The indication for simultaneous bilateral native nephrectomy and the choice of surgical technique is of key importance, as these patients are burdened with a large comorbidity. The paper reports our experience of seven successful and completed simultaneous bilateral native nephrectomy procedures with retroperitoneal approach in the patient's flank position.Seven patients (mean age 34), were indicated for the removal of both kidneys before the planned transplant. Six patients underwent haemodialysis from 48 to 84 months, and one underwent peritoneal dialysis for 60 months. Two patients had undergone graftectomy. The indications were chronic infection or hypertension. The length of the kidneys ranged from 5.8 to 10cm. All procedures were performed by the laparoscopic technique with retroperitoneal approach, with the patient in the flank position. Three trocars were used on each side. The retroperitoneal space created did not require balloon dilatation. The kidneys were removed through the 10mm trocar hole after splitting.The duration of the procedure ranged from 150 to 240 minutes, average 139 minutes and blood loss ranged from100 to 250mL, average 142mL. There were no complications. In 6 patients, the postoperative dialysis was performed at zero-day. One patient continued peritoneal dialysis. Patients were discharged on the 2nd day, except one with peritoneal dialysis, who was discharged on the 3rd day.Retroperitoneal laparoscopic bilateral native nephrectomy is a safe and effective technique, and it can be considered as an ideal approach for native nephrectomy. It allows for the preservation of peritoneal integrity and vessels for future vascular access.

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Section: Discussionsupporting

confidence: 68%

“…This is undoubtedly an advantage of this technique especially in peritoneal dialysis patients (11,18,19). In the transperitoneal approach, this cycle would have to be postponed up to 5 days (15,16).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous bilateral native nephrectomy by retroperitoneal approach

et al. 2020

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“…There have been 5 other reported cases of laparoscopic single nephrectomy in PD patients with postoperative early PD resumption. 6,28,29 In particular, in the series reported by Rais-Bahrami et al, 29 the mean hospital stay was 6 days, and PD was reinitiated 12 days after surgery. All patients underwent temporary hemodialysis across surgeries.…”

Section: Resultsmentioning

confidence: 98%

“…De Carli and Guerra 28 reported laparoscopic bilateral nephrectomy in a child on PD without PD failure. 26 Patients started on a normal diet the following day; PD was restarted 5 days later; and discharge happened 7 days after surgery.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Surgery in Patients on Peritoneal Dialysis: A Review of the Literature

Mari¹,

Scanziani²,

Auricchio³

et al. 2017

Surg Innov

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Peritoneal dialysis (PD) is an effective renal replacement therapy for the treatment of end-stage renal disease. Patients on PD undergoing abdominal open surgery often fail to resume PD. Laparoscopic surgery has recently become a serious alternative to open surgery in patients on PD to treat different abdominal pathologies. However, only a few studies have reported successful procedures without Tenckhoff catheter removal. The aim of this review is to describe how a laparoscopic technique can allow PD patients to deal with abdominal surgery without shifting to hemodialysis. Only 50 cases of laparoscopic surgical intervention in PD patients have been published to our knowledge. These case series largely concern laparoscopic cholecystectomies, appendectomies, nephrectomies, colectomies, and bariatric procedures. The reported cases show how laparoscopic surgery can be accepted as a valid option for several abdominal surgical procedures in patients on PD with good outcomes and early resumption of PD.

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Management of Hypertension in Pediatric Dialysis Patients

Wühl

Flynn

2021

Pediatric Dialysis

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

Cited by 4 publications

References 11 publications

Simultaneous bilateral native nephrectomy by retroperitoneal approach

Simultaneous bilateral native nephrectomy by retroperitoneal approach

Laparoscopic Surgery in Patients on Peritoneal Dialysis: A Review of the Literature

Management of Hypertension in Pediatric Dialysis Patients

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