Retroperitoneoscopic nephrectomy in dialysis dependent patients and comparison with open surgery.

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dc.contributor.authorTaweemonkongsap, Tawatchaien_US
dc.contributor.authorNualyong, Chaiyongen_US
dc.contributor.authorAmornvesukit, Teeraponen_US
dc.contributor.authorSrinualnad, Sittipornen_US
dc.contributor.authorSujijantararat, Phichayaen_US
dc.contributor.authorSoontrapa, Suchaien_US
dc.date.accessioned2009-05-27T21:47:42Z
dc.date.available2009-05-27T21:47:42Z
dc.date.issued2008-11-09en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To evaluate the surgical outcomes and morbidity of retroperitoneoscopic nephrectomy compared with open nephrectomy for dialysis dependent patients. MATERIAL AND METHOD: Between November 2002 and August 2007, 14 hemo or peritoneal dialysis patients underwent nephrectomy or nephroureterectomy at Siriraj Hospital. Of the 14 patients, seven were treated with retroperitoneoscopic nephrectomy and seven with open nephrectomy. A retrospective review and data were carried out. The patient factors, type of surgery, perioperative outcomes and complications were analyzed. RESULTS: There was no conversion rate in the retroperitoneoscopic group. The mean estimated blood loss, analgesic requirement and time before starting oral intake were lower in the retroperitoneoscopic group (141.4 +/- 95 versus 292.8 +/- 226 ml, 5.0 +/- 4.5 versus 7.6 +/- 1.9 mg and 14.5 +/- 16.1 versus 23.1 +/- 23.3 hours, respectively). On the other hand, the mean operative time in the retroperitoneoscopic group was longer than the open group but with no significant difference (177.14 +/- 51 versus 160.71 +/- 84 min, p = 0.521). Two patients in the open group required intraoperative blood transfusion. There were two complications. One patient developed a large retroperitoneal hematoma after retroperitoneoscopic nephrectomy. Another had a perivesical collection in the open nephrectomy group. No mortality related to the procedures occurred. CONCLUSION: Retroperitoneoscopic nephrectomy should be considered as the procedure of choice for dialysis dependent patients. This has all the benefits of minimally invasive surgery such as reduced blood loss, minimal post operative pain leading to faster convalescence.en_US
dc.description.affiliationDivision of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. sittm@mahidol.ac.then_US
dc.identifier.citationTaweemonkongsap T, Nualyong C, Amornvesukit T, Srinualnad S, Sujijantararat P, Soontrapa S. Retroperitoneoscopic nephrectomy in dialysis dependent patients and comparison with open surgery. Journal of the Medical Association of Thailand. 2008 Nov; 91(11): 1719-25en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/45415
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshFeasibility Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney Diseases --surgeryen_US
dc.subject.meshLaparoscopy --methodsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNephrectomy --instrumentationen_US
dc.subject.meshPostoperative Perioden_US
dc.subject.meshRenal Dialysis --instrumentationen_US
dc.subject.meshRetroperitoneal Spaceen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshYoung Adulten_US
dc.titleRetroperitoneoscopic nephrectomy in dialysis dependent patients and comparison with open surgery.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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