Laparoendoscopic single-site nephrectomy for hemodialysis patients with dialysis-related renal tumors.

Laparoendoscopic single-site nephrectomy for hemodialysis patients with dialysis-related renal tumors.

Minim Invasive Ther Allied Technol. 2017 Jun 12;:1-7

Authors: Takei K, Yamasaki M, Abe S, Yamanaka N, Sejiyama S, Narimatsu T, Hata S, Shibuya T, Hirai K, Ando T, Shin T, Mori K, Sumino Y, Nomura T, Sato F, Terachi T, Mimata H

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.

PMID: 28604288 [PubMed - as supplied by publisher]

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