Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys
Shaker, H., Ibrahim, H., Elnasr, M., Saleh, A., Abdel-Azim, A., Mesbah, A. (2023). Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys. EKB Journal Management System, 90(2), 3241-3247. doi: 10.21608/ejhm.2023.291011
Hossam A. Shaker; Hamdy M. Ibrahim; Mohamed K. Saif Elnasr; Ahmed A. Saleh; Ahmed F. Abdel-Azim; Assem A. Mesbah. "Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys". EKB Journal Management System, 90, 2, 2023, 3241-3247. doi: 10.21608/ejhm.2023.291011
Shaker, H., Ibrahim, H., Elnasr, M., Saleh, A., Abdel-Azim, A., Mesbah, A. (2023). 'Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys', EKB Journal Management System, 90(2), pp. 3241-3247. doi: 10.21608/ejhm.2023.291011
Shaker, H., Ibrahim, H., Elnasr, M., Saleh, A., Abdel-Azim, A., Mesbah, A. Prognostic Evaluation of Minimally Invasive Laparoscopic Nephrectomy for Non-Functioning Kidneys. EKB Journal Management System, 2023; 90(2): 3241-3247. doi: 10.21608/ejhm.2023.291011

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, Page 3241-3247  XML PDF (325.67 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.291011
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Authors
Hossam A. Shaker; Hamdy M. Ibrahim; Mohamed K. Saif Elnasr; Ahmed A. Saleh; Ahmed F. Abdel-Azim email ; 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
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