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 language | English |
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Pages (from-to) | 59-62 |
Number of pages | 4 |
Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
Volume | 13 |
Issue number | 1 |
DOIs | |
Publication status | Published - Feb 2003 |
Keywords
- Kidney
- Laparoscopy
- Nephrectomy
- Tuberculosis
ASJC Scopus subject areas
- Surgery