A Hospital Based Study to Determine the Minimally Invasive Nephrectomy for Inflammatory Renal Disease

Description

Abstract (English)

Abstract
Aim: The aim of the present study was to determine the minimally invasive nephrectomy for inflammatory renal
disease.
Methods: This was a observational study conducted in the Department of Surgery for the period of 2 years and
we included 100 patients.
Results: In the present study, 70% were women and 30% were men. Left side nephrectomy was performed in
65% of the cases. A positive history of urolithiasis was present in 54% of the cases, followed by urinary tract
infections (UTI) (44%), high blood pressure (HBP) (32%) and Type II diabetes mellitus (DM II) (10%). Mild
complications consisted in 6 cases of surgical site infection (SSI) that were treated with antibiotics, 4 dehisced the
skin incision and 4 presented ileum that resolved with medical treatment. The mean operative time for patients
who did not required conversion to open surgery was 204±86 min, for the conversion ones was 386±174 min. The
mean estimated blood loss for patients who did not required conversion to open surgery was 214±220 mL, for the
conversion ones was 1477±748mL and for all the patients was 256±422 mL, with a range of 55-3275 mL. The
mean length of hospital stay after surgery was 2.9± 2.2 days, being longer for the converted ones compared to the
no converted ones ranged between 1 and 14 days.
Conclusion: Laparoscopic nephrectomy for IRD is a reproducible technique with low risks and complication rates
despite the surgical challenge it represents. Our experience supports that releasing the kidney first and leaving the
hilum for the end is a safe approach when vascular structures are embedded into a single block of inflammatory
and scar tissue. There were minimal surgical and post-surgical complications, few conversions to open
nephrectomy, blood loss, operative time and days hospitalized.