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| Clinical value of retroperitoneal laparoscopic nephrectomy for tuberculous nonfunctioning kidney |
| LIU Hanbin1, PANG Dong2, YANG Yi2, GE Sangciren3, LIU Sha3 |
1.Department of Urology, The General Hospital of Tibet Military Command, Lhasa 850000, China;
2. Department of Urology, General Hospital of Chinese People’s Armed Police Forces, Beijing 100039, China;
3 Department of Urology, Xizang Autonomous Regional Corps Hospital of Chinese People’s Armed Police Forces, Lhasa 850000,China |
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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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Received: 26 March 2015
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2015, Vol. 26 
