Laparoendoscopic single-site nephrectomy for hemodialysis patients with dialysis-related renal tumors. Issue 3 (4th May 2018)

• Record Type: Journal Article
• Authors: Takei, Kohei; Yamasaki, Mutsushi; Abe, Satoki; Yamanaka, Naoyuki; Sejiyama, Shinya; Narimatsu, Takahiro; Hata, Shinro; Shibuya, Tadamasa; Hirai, Kenichi; Ando, Tadasuke; Shin, Toshitaka; Mori, Kenichi; Sumino, Yasuhiro; Nomura, Takeo; Sato, Fuminori; Terachi, Toshiro; Mimata, Hiromitsu
• Is Part Of: Minimally invasive therapy & allied technologies. Volume 27:Issue 3(2018)
• Page Start: 153
• Page End: 159
• Publication Date: 2018-05-04
• Subjects: Laparoendoscopic single-site surgery -- nephrectomy -- hemodialysis -- dialysis-related renal tumor; Endoscopy -- Periodicals; Interventional radiology -- Periodicals; Endoscopic surgery -- Periodicals; 617.05
• DOI: 10.1080/13645706.2017.1335215
• Languages: English
• ISSNs: 1364-5706

Abstract

Abstract: Purpose: The purpose of this study is to assess the efficacy of laparoendoscopic single-site (LESS) nephrectomy in hemodialysis patients, we compared outcomes between LESS nephrectomy and conventional laparoendoscopic nephrectomy in hemodialysis patients with dialysis-related renal tumors. Material and methods: A total of 16 hemodialysis patients who underwent LESS nephrectomy (LESS-N; n = 8) or conventional laparoendoscopic nephrectomy (C-N; n = 8) between November 2003 and July 2012 were retrospectively evaluated. Outcomes were compared between the two groups. Results: Patient and tumor characteristics were similar between the LESS-N and C-N groups. The mean operative duration was longer in the LESS-N than in the C-N group (231.0 ± 26.7 min versus 188.6 ± 36.4 min; p = .025). The mean estimated blood loss was lower in the LESS-N compared with the C-N group (26.4 ± 14.4 ml versus 65.6 ± 45.2 ml; p = .047). Postoperative complications were observed in three cases, comprising one case of retroperitoneal hematoma in the LESS-N group and one case each of peritoneal hematoma and retroperitoneal abscess in the C-N group. Surgical scarring was minimal in the LESS-N group. Conclusions: Although there is a little extension of the operating time, LESS nephrectomy in hemodialysis patients is a feasible procedure compared with the conventional method.