Korean J Urol.  2007 Aug;48(8):874-877. 10.4111/kju.2007.48.8.874.

Laparoscopic Radical Nephrectomy and Nephroureterectomy in Dialysis Patients

• Yoo KH
• Jeon SH
• Kim TW
• Lee HL

• KMID: 2061284
• DOI: http://doi.org/10.4111/kju.2007.48.8.874

Abstract

A laparoscopicradical nephrectomy or nephrouretectomy with bladder cuff excision are acceptable treatments for renal or upper urinary tract malignancies, respectively. However, laparoscopic surgery in dialysis patients is associated with high morbidity due to the long operation time and intraabdominal insufflation of carbon dioxide. Herein, two cases of a renal cell carcinoma and an urothelial carcinoma in dialysis patients are reported.

Keyword

Laparoscopy; Chronic kidney failure; Dialysis

MeSH Terms

Carbon Dioxide
Carcinoma, Renal Cell
Dialysis*
Humans
Insufflation
Kidney Failure, Chronic
Laparoscopy
Nephrectomy*
Urinary Bladder
Urinary Tract
Carbon Dioxide

Figure

• 

  Fig. 1 Postcontrast computed tomography (CT) scan showing early wash-out of a right renal mass during dialysis in a 43-year-old man (case 1). (A) 3cm sized mass in the mid-portion of the right kidney. (B) 2cm sized mass in the upper pole of the right kidney. (C) Coronal image of the enhanced CT scan.

• 

  Fig. 2 (A) Cystoscopy showing a papillary mass at the right ureteral orifice during dialysis in a 54-year-old woman (case 2). (B) Enhanced CT scan showing both severe hydronephrosis and parenchymal thinning.

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