IP Journal of Urology, Nephrology and Hepatology Science

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Retroperitoneoscopic nephrectomy: Technique, safety and results

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Original Article

Author Details : Sanjay P Dhangar*, Avais A Syed, Manisha Shengal

Volume : 3, Issue : 3, Year : 2020

Article Page : 68-71

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Abstract

Introduction: Minimal invasive surgery has become the mainstay of surgery in all the fields of medicine. Inclusion of laproscopy/retroperitoneoscopy in the urology increases its armamentarium and maintain the minimal invasive nature inherited with it. Retroperitoneoscopic surgery has many advantages. The best part of this approach is the quick approach to the hilar area and early control of the renal vessels. We here stepwise describe the steps of retroperitoneoscopic nephrectomy and elaborate various advantages and disadvantages and share our experience of retroperitoneoscopic simple nephrectomy.
Materials and Methods: This retrospective study was done in SMBT IMS & RC, Nashik, Maharashtra, India from August 2016 to July 2020. A total of 53 patients underwent nephrectomy for various reasons were included except the cases of malignancy. This was a retrospective Cross-sectional study. Data were collected from hospital record in a structured questioner. Following collection of data, it was analysed by computer software Statistical Package for the Social Sciences (SPSS version 19).
Results: The mean age of the patients was 45.5 years. Male is to female ratio was 3:1. Thirty-five patients underwent left sided nephrectomy and eighteen underwent right sided nephrectomy. The most common cause for non-functioning kidney was renal calculi followed by pelvi-ureteric junction obstruction. The mean operative time was 162.3 minutes with mean blood loss of 180.6ml. There were 5 conversion to open surgery in our study. These cases had severe adhesions and inability to identify the vascular structures safely. Minor Clavien grade I and II were observed in 16.9% cases.
Conclusion: Retroperitoneoscopic nephrectomy is technically challenging procedure as compared to the transperitoneal approach for patients with non-functioning kidneys caused by benign conditions. But it is a safe, effective and reproducible surgical technique for nephrectomy in benign renal diseases.

Keywords: Retroperitoneoscopy, Retroperitoneal nephrectomy, Nephrectomy for benign disease.

How to cite : Dhangar S P, Syed A A, Shengal M, Retroperitoneoscopic nephrectomy: Technique, safety and results. J Urol Nephrol Hepatol Sci 2020;3(3):68-71

Copyright © 2020 by author(s) and J Urol Nephrol Hepatol Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)