Laparoscopic nephrectomy for benign kidney disease

The article is professionally consulted by Doctor of Urology Department, Vinmec Central Park International General Hospital.

Laparoscopic nephrectomy is a modern, minimally invasive and highly effective technique in the treatment of many benign kidney diseases, especially when the kidneys lose function due to stones or congenital malformations.

Laparoscopic nephrectomy for kidney diseases is a safe and effective technique, allowing to remove part or all of the kidney in cases of kidney failure, kidney cancer or nephrectomy. in kidney donors during kidney transplantation.

The outstanding advantage of laparoscopic nephrectomy is less invasive, less painful than open surgery. This surgical method is also considered safe and the patient recovers faster than usual.
Therefore, in most cases of kidney disease requiring surgery, if there are no contraindications, doctors prefer laparoscopic treatment for patients.

In most cases of benign pathology requiring surgery, laparoscopic surgery will be the first choice.
Benign diseases that cause severe reduction in kidney function, often indicated for laparoscopic nephrectomy are:
Urinary stones: ureteral stones are detected late, kidney stones have been operated on many times... stones, urinary tuberculosis... Congenital malformations of the urinary tract: narrowing of the ureteral junction, ureterocele, vesicoureteral reflux... Hypertension secondary to causes in such as: arterial or parenchymal renal disease. Progressive polycystic kidney disease. 3.1. Nephrectomy with loss of function due to stones Ureteral stones are the leading cause of kidney failure in Vietnam. Annually, the rate of nephrectomy with loss of function due to stones accounts for 2 - 15% of the total number of patients undergoing surgery for kidney stones and ureters. Most cases with indications for nephrectomy with loss of function due to stones can be performed laparoscopically.
Hydronephrosis with loss of function due to ureteral stones is the ideal indication for laparoscopic surgery. Due to no or very little inflammation around the kidney. Renal blood vessels are also often atrophic and cause less bleeding during surgery. The process of nephrectomy and ureterectomy is quite convenient, with few complications.
Cases of purulent kidney, much inflammation around the kidney, very difficult dissection, is one of the relative contraindications of laparoscopic surgery.
3.2. Nephrectomy with loss of function due to congenital pathology Congenital malformations of the urinary organs that cause loss of kidney function are common ureteral junction stenosis, ureteral stenosis, vesicoureteral reflux, and ureteral regurgitation. mega-ureter.
In many cases, when the disease is detected, the kidney has lost its function and is no longer capable of renal-conserving treatment. At that time, the doctor may consider laparoscopic nephrectomy.
3.3. Nephrectomy for hypertension secondary to renal etiology This is a rare indication, usually due to renal artery stenosis, but is no longer indicated for endovascular intervention and angioplasty. In these cases, the kidneys are often fibrosis, atrophy.

3.4. Nephrectomy due to tuberculosis and pyelonephritis - yellow granulomatous nephritis Laparoscopic nephrectomy at Vinmec Central Park International Hospital
Laparoscopic nephrectomy is a difficult technique that requires a computer system Modern hook. Therefore, Vinmec Central Park International General Hospital is now equipped with a new generation robot system manufactured by France. With a flexible robot arm that allows to perform many surgical operations such as cutting, suturing, clamping, welding, pumping CO2... can perform complex surgical techniques that other methods Other laparoscopic methods are difficult or impossible to perform.
Also here, the doctors who directly perform laparoscopic surgery of the Department of Surgery, Vinmec Central Park Hospital are the leading experts in urology:
Specialist Doctor II Nguyen Minh Quang Doctor Nguyen Tan Cuong.