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Retroperitoneoscopic nephrectomy for non-functioning kidneys related to renal stone disease

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An Erratum to this article was published on 07 July 2012

Abstract

Laparoscopic nephrectomy has become the gold standard procedure for nonfunctioning or symptomatic benign kidneys due to renal calculi, obstructive, refluxive, and inflammatory nephropathies or renovascular hypertension. We aimed to investigate the effect of renal calculi as a reason of non-functioning on the progress and complication rates of the retroperitoneoscopic nephrectomy (RPN).During a 2-year period, 108 patients with benign renal conditions underwent RPN by single surgeon. Among these patients, total of 27 (Group 1) with a non-functioning kidney due to renal calculi were retrospectively compared with 27 patients (Group 2) with other benign renal conditions. The two groups were matched for age, body mass index, and previous renal surgery. We analyzed operative and post-operative findings and complications. The mean age and the BMI of the groups were similar. The operation time was significantly longer in Group 1 than Group 2 (p = 0.0001). There was no significant difference between the groups with respect to mean hemoglobin drop postoperatively (p = 0.9) and hospitalization time (p = 0.06). The perioperative and postoperative complication rates were higher in Group 1 but not statistically different from Group 2 (p = 0.19, p = 0.29, respectively). RPN for nonfunctioning calculous kidneys is more challenging procedure and is associated with prolonged operation time related to difficult dissection of dense adhesions. It can be safely performed by experienced hands with similar perioperative and postoperative complication rates as well as for other benign conditions of the kidney.

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Abbreviations

LN:

Laparoscopic nephrectomy

RPN:

Retroperitoneoscopic nephrectomy

PN:

Pyelonephritis

PCNL:

Percutaneous nephrolithotomy

SWL:

Shockwave lithotripsy

BMI:

Body mass index

PCKD:

Policystic kidney disease

UPJ:

Ureteropelvic junction

US:

Ultrasonography

IVP:

Intravenous pyelography

CT:

Computed tomography

DMSA:

Dimercaptosuccinic acid

UTI:

Urinary tract infection

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Authors and Affiliations

  1. Department of Urology, Faculty of Medicine, Bezmialem Vakif University, Fatih, 34093, Istanbul, Turkey

    Abdulkadir Tepeler & Tolga Akman

  2. Department of Urology, Haseki Teaching and Research Hospital, Istanbul, Turkey

    Adem Tok, Mehmet Kaba, Murat Binbay & Ahmet Yaser Müslümanoğlu

  3. Department of Urology, School of Medicine, Koç University, Istanbul, Turkey

    Ahmet Tefekli

Authors
  1. Abdulkadir Tepeler
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  2. Tolga Akman
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  3. Adem Tok
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  4. Mehmet Kaba
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  5. Murat Binbay
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  6. Ahmet Yaser Müslümanoğlu
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  7. Ahmet Tefekli
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Correspondence to Abdulkadir Tepeler.

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Tepeler, A., Akman, T., Tok, A. et al. Retroperitoneoscopic nephrectomy for non-functioning kidneys related to renal stone disease. Urol Res 40, 559–565 (2012). https://doi.org/10.1007/s00240-012-0466-2

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  • DOI: https://doi.org/10.1007/s00240-012-0466-2

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