Clinical value of retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidney

LIU Hanbin; PANG Dong; YANG Yi; GE Sangciren; LIU Sha

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Medical Journal of the Chinese People Armed Police Forces ›› 2015, Vol. 26 ›› Issue (9) : 917-919.

ORIGINAL ARTICLES

Clinical value of retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidney

LIU Hanbin¹, PANG Dong², YANG Yi², GE Sangciren³, LIU Sha³

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Abstract

Objective To investigate the clinical value of retroperitoneal laparoscopic nephrectomy for patients with tuberculous nonfunctioning kidney. Methods Reports of 37 patients undergoing retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidney were reviewed. We analyed the surgical operation duration, blood loss, duration of hospital stay after surgery, complications after surgery and patient follow-up, and evaluated the efficiency and safety of the surgery. During the operation, we dissected the kidney and ureter with PK and then blocked the kidney pedicle with a hemostat. The kidney was removed with a renal bag, then it was pulled out through an oblique incision made at the lower abdomen. Antituberculosis therapy was carried out both before and after the surgery. Results Retroperitoneal laparoscopic nephrectomy was successfully completed in all of the 37 patients. The operation duration ranged from 120 to 200 minutes with a mean of 150 minutes; during the operation, the mean blood loss was 150 ml (ranging, 80-300 ml); all the patients showed primary healing of the wound; after the surgery, the patients were discharged from the hospital in 5 to 7 days (mean, 6 days). A mean of 12-month follow-up (ranging from 6 to 24 months) was achieved in all the patients. There was no long-term complication. Conclusions Retroperitoneal laparoscopic nephrectomy is a safe and effective procedure for tuberculous nonfunctioning kidneys.

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retroperitoneal / laparoscopic / nephrectomy

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LIU Hanbin, PANG Dong, YANG Yi, GE Sangciren, LIU Sha. Clinical value of retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidney[J]. Medical Journal of the Chinese People Armed Police Forces. 2015, 26(9): 917-919

References

[1] 陈文新,孙毅,巴特巴依尔,等. 后腹腔镜切除结核性无功能肾39例临床分析[J]. 中国美容医学,2012,21(16):116-117.
[2] Gupta N P, Hemal A K, Mishra S N, et al. Outcome of retroperitoneoscopic nephrectomy for benign nonfunctioning kidney: a single-center experience [J]. J Endourol, 2008, 22(4):693-697.
[3] 陈映鹤, 何有华, 张磊, 等. 后腹腔镜肾切除术治疗无功能肾积水(附17例报告)[J]. 中国内镜杂志,2006,12(12): 1242-1244.
[4] 艾克拜尔·吾曼尔,马力克·伊斯哈科夫,王胜军,等. 后腹腔镜下结核性无功能肾切除术[J]. 中国微创外科杂志,2010,16(4): 292-294.
[5] 王家伟,陈弋生,姚友生,等. 后腹腔镜下无功能肾切除术的临床体会[J].中国医师进修杂志,2014,37(29): 26-28.
[6] 张树栋,马潞林,王国良,等. 结核性无功能肾的腹腔镜切除(附9例报告) [J].中国微创外科杂志, 2007, 7(9):896-898.
[7] 王胜军,李勇,汪清,等. 腹腔镜切除结核性无功能肾15例报告[J]. 现代泌尿外科杂志,2010,15(1): 70-71.
[8] 艾克拜尔·吾曼尔,迪力夏提·吾麦尔,马力克·伊斯哈科夫,等. 腹膜后腹腔镜结核性无功能肾切除术与开放手术的比较[J]. 腹腔镜外科杂志,2010,15(6):453-455.
[9] 李迪,王立国. 腹膜后腹腔镜结核性无功能肾切除术35例报告[J]. 腹腔镜外科杂志,2011, 16(6): 413-415.
[10] 高江平,郭刚,朱捷,等. 后腹腔镜肾切除术快速寻找肾血管的方法[J].临床泌尿外科杂志,2007,22(3):172-174.
[11] 赵磊,马潞林,侯小飞,等. Hem-o-lok在后腹腔镜肾切除术中的应用[J].中国微创外科杂志,2007,13(8): 743-744.
[12] Ponsky L, Cherullo E, Moinzadeh A, et al. The Hem-o-lok clip is safe for laparoscopic nephrectomy: a multi-institutional review [J]. Urology, 2008, 71(4):593-596.
[13] Kapoor R, Singh K J, Suri A, et al. Hem-o-lok clips for vascular control during laparoscopic ablative nephrectomy: a single-center experience [J]. J Endourol, 2006,20(3):202-204.
[14] Urbańczyk G, Litarski A, Litarski A, et al. The use of polymeric Hem-o-lock clips in laparoscopic radical nephrectomy [J]. Polim Med, 2012, 42(1): 29-33.
[15] 全科立,舒铁环,向桂桥,等. 后腹腔镜手术腹膜损伤时不同处理方法评价[J]. 海南医学,2013,24(7): 978-979.
[16] 陈晓明. 后腹腔镜切除无功能结核肾临床疗效分析[J]. 中国民族民间医药,2012,21(12):122.