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International Urology and Nephrology

, Volume 48, Issue 10, pp 1565–1569 | Cite as

It is unnecessary to completely mobilize the kidney in retroperitoneoscopic renal pedicle lymphatic disconnection for intractable chyluria

  • Tao Zhang
  • Jinyou Wang
  • Dexin YuEmail author
  • Jiaxing Ma
  • Haoqiang Shi
  • Liangkuan Bi
  • Dongdong Xie
  • Yi Wang
  • Jie Min
Urology - Original Paper

Abstract

Purpose

To compare the efficacy and safety of two approaches in retroperitoneoscopic renal pedicle lymphatic disconnection (RRPLD) for intractable chyluria: completely or partly mobilize the kidney.

Materials and methods

Retrospectively reviewed the clinical data of 77 patients, who underwent RRPLD because of intractable chyluria in our institution. We mobilized the whole affected kidney in 22 patients during the operation, but only dissected the lower part in other 55 patients. Operative time, blood loss, visual analog scale (VAS) score, postoperative bed rest, postoperative hospital stay, recurrence, intraoperative and postoperative complications were compared between the two groups.

Results

All operation was successful, and none convert to open. The chyluria was resolved immediately after surgery. Compared with completely mobilized RRPLD (CMR), partly mobilized RRPLD (PMR) was superior in terms of operative time (132.91 ± 35.65 vs. 91.73 ± 24.14 min), blood loss (35.68 ± 8.21 vs. 25.09 ± 7.41 ml), VAS score (4.63 ± 0.44 vs. 2.34 ± 0.80), postoperative bed rest (3.36 ± 0.49 vs. 1.80 ± 0.85 days) and hospital stay (6.77 ± 1.57 vs. 4.98 ± 1.89 days). Compilations occurred in three patients in CMR group and two in PMR. Recurrence was confirmed by cystoscopy in three patients during 3–103-month follow-up, CMR group with 1 and PMR with 2.

Conclusion

In our study, we found PMR was equally effective and safe as CMR. Moreover, it is more minimally invasive, painless and economical. Therefore, we believe it is unnecessary to completely mobilize the kidney in RRPLD for intractable chyluria.

Keywords

Chyluria Renal pedicle lymphatic disconnection Retroperitoneoscopy Treatment 

Notes

Compliance with ethical standards

Conflict of interest

No conflict of interest was declared by the authors.

Ethical approval

This article does not contain any studies with animals or human participants performed by any of the authors.

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Copyright information

© Springer Science+Business Media Dordrecht 2016

Authors and Affiliations

  • Tao Zhang
    • 1
  • Jinyou Wang
    • 1
  • Dexin Yu
    • 1
    Email author
  • Jiaxing Ma
    • 1
  • Haoqiang Shi
    • 2
  • Liangkuan Bi
    • 1
  • Dongdong Xie
    • 1
  • Yi Wang
    • 1
  • Jie Min
    • 1
  1. 1.Department of UrologyThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
  2. 2.Department of UrologyThe First Affiliated Hospital of Anhui Medical UniversityHefeiChina

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