Transperitoneal laparoscopic heminephrectomy in duplex kidneys: a one centre experience

The standard treatment for a duplex kidney with poorly functioning upper pole moiety is ipsilateral upper pole heminephrectomy. This procedure is usually performed by open surgery, but with recent developments in techniques of uro-laparoscopy, it can be done with it, safely. In this study we evaluat...

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Bibliographic Details
Published in:German medical science 2012, Vol.10, p.Doc05-Doc05
Main Authors: Abedinzadeh, Mehdi, Nouralizadeh, Akbar, Radfar, Mohammad Hadi, Moslemi, Mohammad Kazem
Format: Article
Language:English
Subjects:
Adolescent
Adult
duplex kidney
Female
Flank Pain - etiology
heminephrectomy
Humans
intravenous pyelography
IVP
Kidney - abnormalities
Kidney - physiopathology
Kidney - surgery
Kidney Diseases - complications
Kidney Diseases - surgery
Laparoscopy
Male
Middle Aged
Nephrectomy - adverse effects
Nephrectomy - methods
Retrospective Studies
Time Factors
upper pole moiety
Urinary Tract Infections - etiology
Young Adult
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Summary:The standard treatment for a duplex kidney with poorly functioning upper pole moiety is ipsilateral upper pole heminephrectomy. This procedure is usually performed by open surgery, but with recent developments in techniques of uro-laparoscopy, it can be done with it, safely. In this study we evaluated the results and safety of laparoscopic heminephrectomy in our consecutive cases. From February 2001 to May 2007 fourteen unilateral laparoscopic heminephrectomy were performed in our center. Patients' characteristics, presenting symptoms, operative time, and blood loss, early and late complications were all collected retrospectively. Using pre-operative ultrasonography, intravenous pyelography (IVP) and CT scanning, unilateral upper pole hydronephrosis was detected in all cases. By DMSA isotope scan hypofunctioning of ipsilateral moieties was detected in all cases. Mean operative time was 203±80 minutes. No major intra-operative or early complications were identified. Mean hospital stay was 4.1 days. On mean follow-up of 32 months no disturbing symptoms or episodes of urinary tract infections (UTIs) were detected. Atrophic kidney was detected in one case in post-operative IVP. Laparoscopic heminephrectomy is a valuable minimal invasive procedure that can be performed safely in experienced hands without any important complication. Perfect renal pedicles vascular system manipulation is important for the preservation of renal function post-operatively.
ISSN:1612-3174
1612-3174
DOI:10.3205/000156