Laparoscopic bilateral hand-assisted nephrectomy: End-stage renal disease from tuberculosis, an unusual indication for nephrectomy before transplantation

Marco Casaccia, Paolo Torelli, Iris Fontana, Fabrizio Panaro, Umberto Valente

Research output: Contribution to journalArticle

Abstract

The purpose of the study was to sterilize renal tuberculous foci in a pretransplantation patient with a laparoscopic hand-assisted approach and to verify the feasibility of bilateral nephrectomy for this indication. This case report is the first description of hand-assisted laparoscopic bilateral nephrectomy for this pathologic condition. The 33-year-old patient had end-stage renal disease from renal tuberculosis. A commercially available hand-assistance device was used through a midline 8-cm supraumbilical incision and with four ports. The procedure was successfully completed. The total operative time was 3 hours and 40 minutes. Estimated blood loss was 250 mL. The postoperative course was uneventful, and clinical follow-up at 3 weeks revealed a successful outcome. Hand-assisted bilateral laparoscopic nephrectomy in patients with chronic renal failure from tuberculosis represents a viable option because it is feasible and effective. The hand-assisted approach increases the safety of the procedure while retaining all the advantages of minimally invasive surgery.

Original languageEnglish
Pages (from-to)59-62
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume13
Issue number1
DOIs
Publication statusPublished - Feb 2003

Keywords

  • Kidney
  • Laparoscopy
  • Nephrectomy
  • Tuberculosis

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic bilateral hand-assisted nephrectomy: End-stage renal disease from tuberculosis, an unusual indication for nephrectomy before transplantation'. Together they form a unique fingerprint.

  • Cite this