Individual strategy of retroperitoneoscopic nephrectomy for benign non-functioning kidneys (84 cases)
10.3969/j.issn.1007-1989.2018.03.007
- VernacularTitle:无功能肾后腹腔镜下个体化手术的临床体会(附84例报告)
- Author:
Sheng-Lai LIU
1
;
Li-Ping WANG
;
Yu ZHANG
;
Li-Ming JIANG
;
Da-Wei TIAN
;
Xu-Tong HUANG
;
Chang-Li WU
Author Information
1. 天津医科大学中新生态城医院 泌尿外科
- Keywords:
retroperitoneoscopic;
non-functioning kidney;
avascular zone;
nephrectomy
- From:
China Journal of Endoscopy
2018;24(3):32-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the technique and clinical efficacy of retroperitoneoscopic nephrectomy (RN) at different anatomical plane for benign non-functioning kidneys. Method We retrospectively reviewed the clinical data of 84 patients who underwent RN for benign non-functioning kidneys from February 2010 to November 2016. Various anatomical plane was performed for differing etiology, image and plane, included radical nephrectomy (A group, n = 35), simple nephrectomy (B group, n = 27) and subcapsular nephrectomy (C group, n = 22). Clinical data and preoperative information was collected and analyzed. Result Nephrectomy was performed successfully in 84 patients. There are significantly longer mean operative time and more estimated blood loss in the C group than that in A group and B group (P < 0.05), however, postoperative hospital stay, complications and recovery time were significantly less in the three groups. There was longer mean operative time and more estimated blood in specific and nonspecific infection group compared with the other two groups (P < 0.05). Conclusion Retroperitoneoscopic nephrectomy, although challenging, is safe, reliable, and successful for treatment of benign non-functioning kidneys.Anatomical plane of avascular zone should be offered as the choice of modality to all patients with benign non-functioning kidney.
