Abstract | BACKGROUND: MATERIALS AND METHODS: Thirty ADPKD patients were treated between 2000 and 2004. Eleven procedures in five men and six women of mean age 51 years included laparoscopic cyst excisions. In the remaining 19 patients (six men and 13 women) of mean age 54 years, nephrectomy was done. Indications for surgery included pain due to compression by large cysts and cyst contamination. Patients after nephrectomy were prepared for renal transplantation when necessary. RESULTS: Laparoscopic polycyst removal produced better effects than nephrectomy. Mean operative time was significantly shorter (86 minutes for cyst removal vs 108 minutes for nephrectomy; P < .05). Postoperative pain measured with the VAS scale was reduced in patients after laparoscopy. Hospital stay was shorter (5 vs 9 days), as well as time to recovery. Other benefits of laparoscopic cyst removal included maintained urination in the patient and no need for erythropoietin substitution, as well as reduced risk of cyst contamination. When eligible for renal transplantation, patients after laparoscopic polycyst removal have smaller kidneys that do not interfere with the graft and the risk of infection during immunosuppression seems lower. CONCLUSION: Although larger series of patients are required in patients with ADPKD, laparoscopic polycyst removal seemed superior to early nephrectomy.
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Authors | T Sulikowski, M Kamiński, J Rózański, Z Zietek, L Domański, W Majewski, J Sieńko, M Romanowski, A Mizerski, M Myślak, K Tejchman, K Pabisiak, M Nowacki, M Ostrowski, K Ciechanowski |
Journal | Transplantation proceedings
(Transplant Proc)
2006 Jan-Feb
Vol. 38
Issue 1
Pg. 23-7
ISSN: 0041-1345 [Print] United States |
PMID | 16504654
(Publication Type: Journal Article)
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Topics |
- Female
- Humans
- Kidney Diseases, Cystic
(surgery)
- Kidney Transplantation
- Laparoscopy
- Male
- Middle Aged
- Polycystic Kidney Diseases
(surgery)
- Polycystic Kidney, Autosomal Dominant
(surgery)
- Preoperative Care
- Retrospective Studies
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