ABSTRACT
Background and Objectives:Radical Nephrectomy [RN] is a standard treatment modality for localized Renal Cell Carcinoma [RCC], and recently laparoscopic RN is coming popular for RCC treatment. The advantages of retroperitoneal laparoscopy to the intraperitoneal approach include less visceral and vascular injury, easier access to renal vessels and no peritoneal seeding. Accordingly that in our country intraperitoneal approach is known as acommon option, we decided to report our experience in retroperitoneal laparoscopic RN in these patients
Materials and Methods: In this retrospective study, 12 patients [6 male and 6 female] with 3-11 cm renal masses who were hospitalized from 2008 to 2012, underwent the retroperitoneal laparoscopic RN with hand assisted intact kidney removal by Gibson incision, assessed for local recurrence, perioperative hemorrhage and other postoperative complications
Results: Mean operation time was 193 +/- 32 min with during operation blood loss of 162 +/- 48 ml. Post operation hospital stay was 2-5 days. Conversion to open surgery was not required. There was no blood transfusion during and post operation. No major complication occurred. At mean 47.5 +/- 18 months fallow up local recurrence was not seen
Conclusion: Retroperitoneal laparoscopic RN has become safe, simplified and effective although not easy.Complications, blood loss, hospital stay and convalescence times are low, therefore this approach is a good option for selected case of renal mass
ABSTRACT
Renal Failure [RF] is considered as a major cause of morbidity and mortality worldwide. Kidney transplantation remains the most appropriate therapeutic option in these patients. The allograft kidney is required to be washed in order to prevent thrombosis. The collected fluid form renal vein and ureter could be indicative of the kidney condition. The aim of this study was to evaluate the differences between the collected fluid from ureter and renal vein regarding the temperature, PH and specific gravity of the irrigation fluid at two different irrigation volumes of less and more than 500 mL. In a descriptive cross-sectional study, all renal transplantation patients. After the allograft, kidneys being harvested from the donors, they were irrigated via renal artery; collected fluid form renal vein and ureter was evaluated regarding temperature, PH and Specific Gravity SG at two different irrigation volumes of less and more than 500 mL. Twenty one subjects [11males, 10females] with a mean age of 34.23 +/- 11.86 years were studied. There were no significant relations between the irrigation fluid volume and temperature and also between irrigation fluid volume and PH of the collected fluid from ureter and renal vein [P=0.57 and P=0.56, respect]. The SG of the collected fluid from ureter and renal vein had significant relation with the irrigation fluid volume [P=0.04]. There was non-significant relation between the temperature and PH of irrigation fluid and collected fluid