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Laparoscopy in Patients Undergoing Kidney Transplantation and Dialysis

  • Chapter
Urologic Laparoscopy

Part of the book series: Recent Advances in Endourology ((ENDOUROLOGY,volume 1))

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Summary

Our study presents an overview of laparoscopy in the risk groups of kidney transplant and dialysis patients with respect to indications, peculiarities, limitations, and results. Between January 1993 and March 1998, 67 kidney transplant patients and 26 dialysis patients underwent laparoscopic procedures in our department. A total of 93 laparoscopics were performed, including unilateral nephrectomies for benign kidney disorders, bilateral nephrectomies for severe drug-resistant blood pressure, nephroureterectomies for symptomatic vesicoureteral reflux, lymphocele resections for symptomatic lymph fluid collection, and transplant biopsies for impaired transplant functions of unknown origin in patients with severe clotting abnormalities. With respect to the learning curve, the operative times of laparoscopy decreased and reached levels comparable to the open surgical counterpart. Kidney transplant patients had stable postoperative transplant function, and no relevant procedure-related complications were observed. Dialysis patients required more blood transfusions than patients not on dialysis, but otherwise no specific complications were observed. Most laparoscopic patients had less pain and less analgesic consumption and a shorter duration of hospital stay and convalescence than patients undergoing open surgery. In conclusion, laparoscopy is a safe and effective approach in kidney transplant and dialysis patients. The benefit for these patients is more evident for larger laparoscopic procedures such as nephrectomy or nephroureterectomy. The advantages of laparoscopy are specially appreciated for at-risk patients such as kidney transplant and dialysis patients.

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Author information

Authors and Affiliations

  1. Department of Urology, Medical University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany

    Paolo Fornara, Christian Doehn & Dieter Jocham

Authors
  1. Paolo Fornara
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  2. Christian Doehn
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  3. Dieter Jocham
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Editor information

Editors and Affiliations

  1. Kyoto University, 2-1 Ichinomiya Gakuen-cho, Shimonoseki, Yamaguchi, 751-8503, Japan

    Osamu Yoshida M.D. (Professor, President) (Professor, President)

  2. The University of Toua Graduate School, 2-1 Ichinomiya Gakuen-cho, Shimonoseki, Yamaguchi, 751-8503, Japan

    Osamu Yoshida M.D. (Professor, President) (Professor, President)

  3. Department of Urology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan

    Eiji Higashihara M.D. (Professor and Chairman) (Professor and Chairman)

  4. Department of Urology, Nagoya University School of Medicine, 65 Tsurumai, Showa-ku, Nagoya, 466-8550, Japan

    Shinichi Ohshima M.D. (Professor) (Professor)

  5. Department of Urology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi, Osaka, 570-8507, Japan

    Tadashi Matsuda M.D. (Professor and Chairman) (Professor and Chairman)

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© 1999 The Japanese Society of Endourology and ESWL

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Fornara, P., Doehn, C., Jocham, D. (1999). Laparoscopy in Patients Undergoing Kidney Transplantation and Dialysis. In: Yoshida, O., Higashihara, E., Ohshima, S., Matsuda, T. (eds) Urologic Laparoscopy. Recent Advances in Endourology, vol 1. Springer, Tokyo. https://doi.org/10.1007/978-4-431-65898-6_15

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  • DOI: https://doi.org/10.1007/978-4-431-65898-6_15

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-65900-6

  • Online ISBN: 978-4-431-65898-6

  • eBook Packages: Springer Book Archive

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