Initial experience of laparoscopic nephrectomy for nonfunctioning kidney in Recep Tayyip Erdogan Hospital, Muzaffargarh.

Abstract

Objective: To determine the outcome of initial experience of laparoscopic nephrectomy for non-functioning kidney. Study Design: Retrospective study. Setting: Department of Urology, Recep Tayyip Erdogan Hospital in Muzaffargarh. Period: March 2017 to March 2021. Material & Methods: A total of 40 patients who underwent laparoscopic nephrectomy were included in accordance with the inclusion criteria. Age, gender, operation site, length of surgery, rate of conversion, problems following surgery, and length of hospital stay following surgery were noted in the study. Using SPSS 21.0, the data were analyzed and presented as mean, S.D., and percentages. Results: There were 27(67.5%) female patients and 13 (32.5%) male patients. Mean age was 35.40 (S.D = 11.01) years. Non-functional kidney due to stone disease including renal and ureteric stone were 26 (65%), PUJO 9(22.5%), and atrophic kidney 5 (12.5%). 29 (72.5%) had nephrectomy on right side and 11 (27.5%) had left side. 2 (5%) patients had wound infection and blood transfusion in 4 (10%). Mean operative time was123.77 (S. D= 22.08) minutes. Conversion to open surgery was in only 1 (3%) patient. Mean hospital stay was 3.15 (S.D = 0.94) days. Conclusion: It is concluded from this study that laparoscopic nephrectomy is safe and modern technique with early mobilization and low complications.