Transabdominal laparoscopic nephrectomy for patients with previous history of open kidney surgery

Objective To explore the feasibility of transabdominal laparosCopic removal of the kidneys in patients with previous history of open renal surgery.Methods Transabdominal laparoscopic surgery was performed to resect 8 kidneys without finction.Two were male and three were female,with a mean age of 45 years ( 31 - 61 years ).6patients had giant hydronephrosis and the rest 2 had pyonephrosis and needed percutaneous nephrostomy.Results The procedure was successful in 7 patients and one patient had to receive open surgery during the procedure.No severe complications occurred postoperatively.One patient developed wound infection and was finally cured after treatment.The surgical duration was 120 - 205 min ( 160 min in average ); blood loss was 100 to 600 ml ( 180 ml in average ),with blood transfusion in one patient.Condusions For those with previous history of open kidney surgery,although surgical difficulty was increased because of scar adhesions,transabdominal laparoscopic nephrectomy is still feasible with an accumulation of experiences of laparoscopic surgery and improved surgical skills. Key words: Laparoscopy;  Pyonephrosis;  Nephrectomy