Publication Type : Journal Article
Thematic Areas : Medical Sciences
Publisher : Transplantation Proceedings
Source : Transplantation Proceedings, Volume 36, Number 7, p.2011 - 2012 (2004)
Url : http://www.sciencedirect.com/science/article/pii/S0041134504007341
Campus : Kochi
School : School of Medicine
Department : Gastrointestinal Surgery
Year : 2004
Abstract : Severe hypertension resistant to multiple antihypertensive drugs represents an indication for bilateral pretransplant renal ablation by surgery or angioembolization. Besides causing severe pain and renal postinfarction syndrome, angioembolization may be ineffective. We present our experience with simultaneous bilateral laparoscopic pretransplant nephrectomies in patients with end-stage renal disease and severe uncontrollable hypertension. Among the three patients considered for bilateral pretransplant laparoscopic nephrectomy between September 2002 and August 2003, the procedure was successfully performed in two patients. Left nephrectomy was performed transperitoneally and right nephrectomy retroperitoneoscopically. In one of the three patients, a prior attempt at angioembolization had produced a dense perirenal reaction, rendering laparoscopic surgery impossible. Total operating time for bilateral laparoscopic nephrectomies was 260 and 280 minutes. Within 1 month following the nephrectomies, all patients became normotensive with minimal or no antihypertensive medications. We conclude that simultaneous bilateral laparoscopic nephrectomy is feasible and less morbid in end-stage renal disease patients. Prior angioembolisation can make laparoscopic surgery difficult or impossible.
Cite this Research Publication : K. V. Sanjeevan, Bhat, H. S., and Dr. Sudhindran S., “Laparoscopic simultaneous bilateral pretransplant nephrectomy for uncontrolled hypertension”, Transplantation Proceedings, vol. 36, pp. 2011 - 2012, 2004.