OBJECTIVE: To evaluate the feasibility and morbidity of laparoscopic nephrectomy in patients with autosomal dominant polycystic kidney disease (ADPK).
PATIENTS AND METHOD: This is a retrospective multi-centre study (University Hospitals of Lyons, Toulouse, Nantes and Rennes). Sixty-eight patients who had undergone laparoscopic nephrectomy for polycystic kidney disease between November 1999 and May 2009 were included. This involved unilateral nephrectomy 64 cases, one-stage bilateral in one case and two-stage bilateral in three cases.
RESULTS: The mean operating time was 218±74min (100-420) Conversion was necessary in 7 cases. The mean weight of the removed kidney was 1291±646g (240-3400). We regret to report 20 postoperative complications, including one death on postoperative day 50, following an abscess in the renal pelvis, 6 retroperitoneal haemoatomas and 5 arteriovenous fistula thromboses. Postoperative analgesia involved PCA treatment with morphine for a mean period of 1.59±0.8days (0.5-4). The mean length of hospital stay was 8.3±6.1days (3-50).
CONCLUSION: This study shows the feasibility of the laparoscopic approach for nephrectomy in ADPK. This procedure should be performed by experienced laparoscopic surgeons. Indeed, the complication rate is moderate but there is still a risk of severe complications.
Written by:
Scalabre A, Patard JJ, Delreux A, Roumiguié M, Gamé X, Bensalah K, Rigaud J, Paparel P. Are you the author?
Service d'urologie, centre hospitalier universitaire Lyon-Sud, 65, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France; Service d'urologie, centre hospitalier régional universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes, France; Service d'urologie, centre hospitalier universitaire de Rangueil, 1, avenue du Professeur-Jean-Poulhès, 31059 Toulouse, France; Service d'urologie, Hôtel-Dieu, centre hospitalier universitaire de Nantes, place Alexis-Ricordeau, 44093 Nantes, France.
Reference: Prog Urol. 2014 Jun;24(7):463-9.
doi: 10.1016/j.purol.2013.11.012
PubMed Abstract
PMID: 24861687
Article in French.
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