Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Challenges in laparoscopic simple nephrectomy of non-functioning kidneys due to urolithiasis
Journal of Urological Surgery · Ocak 2021
YÖKSİS Kayıtları
Challenges in Laparoscopic Simple Nephrectomy of Non-functioning Kidneys Due to Urolithiasis
Journal of Urological Surgery · 2021 ESCI
DOÇENT ALİ FURKAN BATUR →
Challenges in Laparoscopic Simple Nephrectomy of Non-functioning Kidneys Due to Urolithiasis
Journal of Urological Surgery · 2021 TR DİZİN
PROFESÖR ÖZCAN KILIÇ →
Makale Bilgileri
DergiJournal of Urological Surgery
Yayın TarihiOcak 2021
Cilt / Sayfa8 · 54-58
Scopus ID2-s2.0-105022108529
Erişim🔓 Açık Erişim
Özet
Objective: Simple nephrectomies may be challenging owing to the fibrotic and inflammatory processes that extend to the renal hilum and perirenal adipose tissue. This study aimed to investigate the complications of laparoscopic nephrectomies for atrophic kidneys. Materials and Methods: Data of patients who underwent laparoscopic nephrectomy for atrophic kidneys were retrospectively evaluated. Preoperatively, all patients had undergone biochemical examinations, computed tomography and scintigraphic studies. The localisation of the stone, affected side, size of the atrophic kidney and presence of fistula and abscess were evaluated radiologically in the preoperative period. The pathology results of the patients were also assessed. Results: A total of 53 patients were included. Conversion to open surgery was necessary in 3 (6%) patients. Pathology reports of these patients revealed xanthogranulomatous pyelonephritis. Moreover, 10 (19%) patients had Clavien-Dindo score >1. Postoperative fistula or abscess formation was not observed in any patient. None of patients had dialysis or sepsis in the postoperative period. Compared with the preoperative data, postoperative creatinine and blood urea nitrogen values were significantly increased. Conclusion: Although laparoscopic nephrectomy is a gold standard treatment option, especially for atrophic kidney, nephrectomies for xanthogranulomatous pyelonephritis can become challenging even for the most experienced surgeons. Thus, surgeons should be always ready to transition to open surgery and be aware of the occurrences of complications in the perioperative and early postoperative periods.
Yazarlar (4)
1
Güner Yıldız
2
Ozcan Kilic
3
Ali Furkan Batur
ORCID: 0000-0001-7945-7326
4
Murat Akand
Anahtar Kelimeler
Atrophic kidney
Laparoscopy
Nephrectomy
Urolithiasis
Xanthogranulomatous pyelonephritis
Kurumlar
KU Leuven
Leuven Belgium
Selçuk Tip Fakültesi
Konya Turkey
University of Health Sciences
Istanbul Turkey
Metrikler
3
Atıf
4
Yazar
5
Anahtar Kelime