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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 1998-3921
Vol. 6, Num. 3, 2010, pp. 89-90

Journal of Minimal Access Surgery, Vol. 6, No. 3, July-September, 2010, pp. 89-90

Letter To Editor

Simultaneous laparoscopic nephrectomy in ADPKD

Ramen Kumar Baishya, Prabhat Ranjan, Ravindra B Sabnis, Mahesh R Desai

Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat - 387 001, India

Correspondence Address:Mahesh R Desai, Department of Urology, Muljibhai Patel Urological Hospital,Nadiad, Gujarat - 387 001, India, mrdesai@mpuh.org

Code Number: ma10025

PMID: 20877484

DOI: 10.4103/0972-9941.68577

Dear Sir,

I read the interesting article 'Concomitant laparoscopic urological procedures: Does it contribute to morbidity?' written by Mourya et al.[1] Author has emphasized that simultaneous laparoscopic procedures can be done for urological diseases in selected patients with the advantages of single anaesthesia and hospital admission without increasing the morbidity. We strongly believe this point. We would like to emphasize that bilateral pre-transplant nephrectomies in autosomal dominant polycystic kidney disease is probably difficult due to large size kidney and associated infection, inflammation and adhesion. We have seen intestinal adhesions during laparoscopy for subsequent staged nephrectomy, leading to difficulty in dissection. [2] Bilateral simultaneous nephrectomy has an additional benefit of leaving the patient with minimum number of days with anephric status as renal transplantation can be done after a gap of 7-10 days of bilateral pre-transplant nephrectomies. Gill et al.,[3] Jenkins et al.,[4] Dunn et al.[5] have similar experience in this subject.

References

1.Maurya K, Sivanandam SE, Sukumar S, Bhat S, Kumar G, Nair B. Concomitant laparoscopic urological procedures: Does it contribute to morbidity? J Minim Access Surg 2009;5:67-71.  Back to cited text no. 1    
2.Desai MR, Nandkishore SK, Ganpule A, Thimmegowda M. Pretransplant laparoscopic nephrectomy in adult polycystic kidney disease: A single centre experience. BJU Int 2008;101:94-7.  Back to cited text no. 2    
3.Gill IS, Kaouk JH, Hobart MG, Sung GT, Schweizer DK, Braun WE. Laparoscopic bilateral synchronous nephrectomy for autosomal dominant polycystic kidney, initial experience. J Urol 2001;165:1093-8.   Back to cited text no. 3    
4.Jenkins MA, Crane JJ, Munch LC. Bilateral hand-assisted laparoscopic nephrectomy for autosomal dominant polycystic kidney disease using a single midline HandPort incision. Urology 2002;59:32-6.   Back to cited text no. 4    
5.Dunn MD, Portis AJ, Elbahnasy AM, Shalhav AL, Rothstein M, McDougall EM, et al. Laparoscopic nephrectomy in patients with end-stage renal disease and autosomal dominant polycystic kidney disease. Am J Kidney Dis 2000;35:720-5.  Back to cited text no. 5    

Copyright 2010 - Journal of Minimal Access Surgery

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