Abstract:
OBJECTIVES:To evaluate the use of laparoscopic techniques in patients with a renal transplant. METHODS:Since 1992, 358 patients have undergone urologic laparoscopy at our hospital. Among these, 37 procedures (10.4%) were performed in patients with a renal transplant: 14 bilateral nephrectomies for severe drug-resistant hypertension, 9 marsupializations of symptomatic lymphoceles, 6 renal allograft biopsies in patients with clotting abnormalities, 6 unilateral nephrectomies, and 2 nephroureterectomies for recurrent episodes of pyelonephritis and symptomatic vesicoureteral reflux, respectively. RESULTS:Five complications (14%) and three conversions (8%) occurred. Patients who underwent successful laparoscopic operations began mobilization and oral intake on the day after the operation. The hospital stay ranged from 1 to 6 days. In the nephrectomy groups, perioperative urine outputs remained stable and post-operative urine outputs were increased as compared with those in the perioperative period (P < 0.05). Post-operatively, serum creatinine remained stable or improved in patients who underwent nephrectomy or marsupialization of lymphocele. CONCLUSIONS:Our results indicate that laparoscopic techniques are safe and effective in the treatment of patients with a renal transplant. Renal allograft function apparently is not affected by laparoscopic procedures.
journal_name
Urologyjournal_title
Urologyauthors
Fornara P,Doehn C,Fricke L,Hoyer J,Jocham Ddoi
10.1016/s0090-4295(96)00559-6subject
Has Abstractpub_date
1997-04-01 00:00:00pages
521-7issue
4eissn
0090-4295issn
1527-9995pii
S0090-4295(96)00559-6journal_volume
49pub_type
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