Analysis of laparoscopic radical nephrectomy for renal cell carcinoma patients with end stage kidney disease requiring hemodialysis

Introduction and objectives:To examine the safety and feasibility of laparoscopic radical nephrectomy in ESRD patients requiring hemodialysis with renal cell carcinoma. Materials and methods:One hundred and seventeen HD patients who underwent radical nephrectomy for renal cell carcinoma were the subjects of this study. One hundred and thirty nine laparoscopic radical nephrectomies were performed on 95 patients with unilateral RCC and 22 patients with bilateral RCC. Results:The transperitoneal and retroperitoneal approaches were selected in 10(7%)and 129(93%), respectively. Eleven of 139 cases(8%)had perioperative and postoperative complications including A-V thrombotic occlusion in 2, intestinal damage in 2, local recurrence at removed kidney site in 2 and acute myocardial infarction, leakage of lympho fluid, hypercarcemia, angiocholitis, and pancreatitis each in 1. Ten cases(7%)were converted to open surgery. Conclusions:HD patients sometimes suffer unexpected complications as they often present with multiple comorbidities. It is necessary to examine these patients closely during the perioperative period.