Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 191, Volume 90, Issue 2, January 2023, Pages 3241-3247 PDF (325.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.291011 | ||
| Authors | ||
| Hossam A. Shaker; Hamdy M. Ibrahim; Mohamed K. Saif Elnasr; Ahmed A. Saleh; Ahmed F. Abdel-Azim* ; Assem A. Mesbah | ||
| Abstract | ||
| Background: Laparoscopic surgery is increasingly popular for difficult and oncologic treatments, in addition to straightforward ones. Recent developments in minimally invasive surgery and surgical technique result in a shorter hospital stay, decreased mortality, less analgesic use, and improved cosmetic outcomes as compared to open surgery. Objective: The aim of the current study is to identify the predictive factors (etiology, demographic data and clinical characteristics) on the prognosis of laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. Patients and methods: A one-arm clinical trial was conducted at Fayoum University Hospital. A total of 40 patients underwent laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. All participants were subjected to history taking and complete clinical examination to determine their suitability for laparoscopic surgery. Results: Age, sex, the side of the resected kidney and high serum creatinine levels did not significantly affect the success of the laparoscopic nephrectomy. A significant improvement was observed in the operative time, and preventing intra- and postoperative complications. Conclusion: Turbid content of the pelvicalyceal system and history of prior urological intervention were the most important predictive factors for bad prognosis of laparoscopic nephrectomy for hydronephrotic non-functioning kidneys. | ||
| Keywords | ||
| Laparoscopy; Nephrectomy; Non-Functioning Kidney | ||
|
Statistics Article View: 168 PDF Download: 361 |
||
