Bilateral laparoscopic nephrectomy for significantly enlarged polycystic kidneys: a technique to optimize outcome in the largest of specimens

BJU International
Premal J DesaiPaul E Andrews

Abstract

To present our experience with bilateral laparoscopic nephrectomy (BLN) for symptomatic autosomal-dominant polycystic kidney disease (ADPKD), as surgical management of massively enlarged polycystic kidneys can be a daunting task. The study was a retrospective chart review of all patients undergoing BLN for ADPKD. Patient demographics, indications for the procedure, perioperative data, and pathological data were analysed. In all, 12 patients underwent BLN at our institution; eight were performed before transplant, three after transplant, and one with a concomitant kidney transplant. Indications for surgery included abdominal pain, fullness and early satiety, recurrent urinary tract infections, and need for space for future transplant. The mean patient age was 49.6 years, with a body mass index of 27.0 kg/m(2). The mean operative duration was 214 min, estimated blood loss was 169 mL, and the hospital stay was 4 days. There were no conversions to open surgery. The mean (range) pathological kidney mass was 2243 (656-4200) g on the left and 2379 (789-5042) g on the right. No patients with a previous renal transplant had deterioration in postoperative renal function. There was one minor intraoperative complication, one postoperative ...Continue Reading

References

Oct 18, 1990·The New England Journal of Medicine·P S ParfreyS Somlo
Oct 1, 1987·Urology·H Ho-HsiehM Goormastic
Oct 6, 1988·The New England Journal of Medicine·K F HossackP A Gabow
Jul 29, 1993·The New England Journal of Medicine·P A Gabow
Feb 1, 1996·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·O M ElashryR V Clayman
Mar 31, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·M D DunnR V Clayman
Mar 18, 2004·Surgical Endoscopy·Y BendavidJ Mamazza
Jul 16, 2004·Journal of Endourology·David I Lee, Ralph V Clayman
Jan 16, 2007·The Journal of Urology·Michael C LipkeChandru P Sundaram

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Citations

Oct 31, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Aziz M MerchantEdward Lin
May 5, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ronald Scott Chamberlain, Sujit Vijay Sakpal
Jan 30, 2010·Nature Reviews. Nephrology·Kyongtae T Bae, Jared J Grantham
Jul 2, 2009·Journal of Endourology·Jens-Uwe StolzenburgEvangelos N Liatsikos
Oct 10, 2009·Journal of Endourology·Dong-Soo RyuTae-Hee Oh
Oct 12, 2010·Journal of Endourology·Volkan TugcuAli Ihsan Tasci
Oct 28, 2010·Journal of Endourology·John T LeppertPeter G Schulam
Nov 5, 2011·Journal of Endourology·Cheguevara AfanehJoseph J Del Pizzo
Sep 19, 2012·Journal of Endourology·James S RosoffJoseph J Del Pizzo
Aug 24, 2012·Journal of Endourology·Christian SchwentnerGeorgios Gakis
Aug 22, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·James M HotalingThomas S Lendvay
Sep 30, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Christian T BrownPhilippe Grange
Feb 3, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jiheum PaekSang Wun Kim
Aug 1, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zhi ChenChen Lai
Jan 19, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Lena PergerCarroll M Harmon
Jun 25, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zhenyu OuLong Wang
Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Michael P Herman, Joseph J Del Pizzo
Aug 9, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Mary EngMichael R Marvin
May 28, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A ScalabreP Paparel
Aug 29, 2014·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Niek F CasteleijnUNKNOWN DIPAK Consortium
Oct 5, 2010·Clinical and Experimental Nephrology·Jorge VegaFrancisco Javier Guarda
Oct 9, 2013·Actas urologicas españolas·O Rodríguez-FabaH Villavicencio
May 21, 2009·Kidney International·Vicente E Torres, Peter C Harris
Sep 29, 2015·Journal of Endourology·Yasuhiro YamadaTsuneharu Miki
Jan 22, 2011·The Journal of Urology·Rizk El-GalleyJan Colli
May 5, 2010·Advances in Chronic Kidney Disease·Marie C Hogan, Suzanne M Norby
Aug 14, 2012·BJU International·Aaron D MartinPaul E Andrews
Sep 29, 2011·Annals of the Royal College of Surgeons of England·P PatelJ Olsburgh
Feb 6, 2020·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Nasser SimforooshMohammad Nadjafi-Semnani
Feb 26, 2016·World Journal of Urology·Niek F CasteleijnAnna M Leliveld

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