Laparoscopic Nephrectomy by Transperitoneal Route for Benign Non-Functioning Kidney: Our Experience With 40 Cases

Laparoscopic Nephrectomy by Transperitoneal Route for Benign Non-Functioning Kidney: Our Experience With 40 Cases

Author Dr. Rajive Gupta
Co-Author Dr. Ritvik Resutra, Dr. Haroon Salaria
DOI http://wwj

Country : India
Subject : Surgery

Keywords : Calculi; Nephrectomy; Non-functioning kidney; Renal scan

Abstract

Background: The study evaluates the safety, outcome & complications of the transperitoneal laparoscopic nephrectomy procedure for benign non-functioning kidney with special focus on time taken for surgery, loss of blood, requirement of painkillers & postoperative stay in hospital.

Materials and Methods: Retrospective study was conducted over a period of 6 years from April 2015 to May 2021 at Maxxlyfe Hospital, Sunjwan Morh, near Bathindi, Jammu (J & K), India on 40 patients with benign non-functioning kidney who were subjected to transperitoneal laparoscopic nephrectomy.

Results: Authors analysed 40 patients (M=26; F=14) in the study period. Patient’s mean age was 36 years (range: 24-71). 36 (90%) patients had symptoms of flank pain on the same side, 14 (35%) patients had lower urinary tract symptoms & 4 (10%) patients had haematuria. Causes of benign non-functioning kidney were stone related obstructive uropathy in 30 (75%) patients, neglected cases of obstruction at pelvic ureteric junction in 5 (12.5%), tuberculosis of kidneys in 3 (7.5%) & renovascular hypertension in 2 (5%) patients. In 5 (12.5%) patients, laparoscopic procedure was converted to open surgery due to adhesions & bleeding in two patients each & colon injury in one case. The mean hospital stay was 2 days. Complications during operation occurred in three patients & 12 patients postoperatively. There was no mortality.

Conclusion: Laparoscopic nephrectomy by the trans-peritoneal technique is a safe, effective & technically feasible procedure for the patients suffering from benign non-functional kidney with minimal complications & morbidity, reduced hospital stay, rapid recovery and better cosmesis & is a better alternative to open nephrectomy.

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