Limitations of Laparoscopy for Bilateral Nephrectomy for Autosomal Dominant Polycystic Kidney Disease

Michael C. Lipke, Vladislav Bargman, Martin Milgrom, Chandru Sundaram

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Purpose: We retrospectively studied outcomes following bilateral hand assisted laparoscopic nephrectomy. Materials and Methods: We retrospectively reviewed the charts of 18 patients with symptomatic autosomal dominant polycystic kidney disease who underwent bilateral hand assisted laparoscopic nephrectomy. Preoperative radiographic imaging was reviewed retrospectively to determine kidney size based on an ellipsoid shape. A visual analog pain scale with scores of 0 to 10 to assess pain related to autosomal dominant polycystic kidney disease was measured preoperatively and postoperatively. Results: Average patient age was 48.2 years (range 30 to 64). Of the patients 14 successfully underwent bilateral hand assisted laparoscopic nephrectomy, while 4 required open conversion. A total of 16 patients underwent nephrectomy for pain and 2 underwent surgery for frequent recurrent symptomatic urinary tract infections. All patients except 1 underwent renal transplantation before bilateral nephrectomy. There was a significant difference in the volume of the right and left kidneys between the hand assisted laparoscopic and open groups (mean ± SD 1,043 ± 672 and 1,058 ± 603.8 vs 4,052 ± 548 and 3,592 ± 1,752 cm3, p

Original languageEnglish (US)
Pages (from-to)627-631
Number of pages5
JournalJournal of Urology
Volume177
Issue number2
DOIs
StatePublished - Feb 2007
Externally publishedYes

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Autosomal Dominant Polycystic Kidney
Nephrectomy
Laparoscopy
Hand
Kidney
Pain
Pain Measurement
Urinary Tract Infections
Kidney Transplantation

Keywords

  • kidney
  • kidney transplantation
  • laparoscopy
  • nephrectomy
  • polycystic kidney diseases

ASJC Scopus subject areas

  • Urology

Cite this

Limitations of Laparoscopy for Bilateral Nephrectomy for Autosomal Dominant Polycystic Kidney Disease. / Lipke, Michael C.; Bargman, Vladislav; Milgrom, Martin; Sundaram, Chandru.

In: Journal of Urology, Vol. 177, No. 2, 02.2007, p. 627-631.

Research output: Contribution to journalArticle

Lipke, Michael C. ; Bargman, Vladislav ; Milgrom, Martin ; Sundaram, Chandru. / Limitations of Laparoscopy for Bilateral Nephrectomy for Autosomal Dominant Polycystic Kidney Disease. In: Journal of Urology. 2007 ; Vol. 177, No. 2. pp. 627-631.
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