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Date Published: 30/01/2024
Abstract Views: 47
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DOI: https://doi.org/10.51298/vmj.v534i1B.8238
Issue
Vol. 534 No. 1B (2024)
Section
Các bài báo
How to Cite
Lê, N. V. . (2024). HAND-ASSISTED LAPAROSCOPIC NEPHRECTOMY FOR AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE. Vietnam Medical Journal, 534(1B). https://doi.org/10.51298/vmj.v534i1B.8238

HAND-ASSISTED LAPAROSCOPIC NEPHRECTOMY FOR AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE

Nguyên Vũ Lê

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Abstract

Objective: Evaluate the initial outcomes of the laparoscopic-assisted hand-assisted method in managing complicated polycystic kidney disease that requires nephrectomy. Patients and methods: Prospective study of polycystic kidney disease patients with complications undergoing surgery at Viet Duc Friendship Hospital from June 1, 2023, to December 31, 2023. Results: A total of 5 patients underwent surgery, including 2 males and 3 females, with an average age of 45.85 ± 9.67 (ranging from 39 to 52). Renal failure was present in all 5 cases, with 1 case undergoing kidney transplantation 7 months post-nephrectomy. Computed tomography revealed enlarged kidneys (> 20 cm) in all cases, with bleeding complications within the cyst and cyst infection was reseon to surgery. The laparoscopic-assisted hand-assisted approach had an average surgical time of 1 hour 30 minutes, an average blood loss of 150ml, and a hospital stay of 5.5 ± 2.1 days. No blood transfusions were required during surgery, and no severe complications were reported. The use of pain medication decreased over 3 days. Conclusion: The laparoscopic-assisted hand-assisted nephrectomy for complicated polycystic kidney disease pre-transplantation is a safe and effective treatment method, combining the advantages of laparoscopy and open surgery.

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References

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