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Background: We herein presented the simple technique, which preserves the peritoneal boundary during the retroperitoneoscopic radical nephrectomy (RRN) for patient receiving continuous ambulatory peritoneal dialysis (CAPD). Patients and Methods: A 61-year-old male who was receiving CAPD underwent RRN for a right renal mass. The RRN was performed using a balloon dissector in 2 different retroperitoneal spaces, in order to avoid the potential risk of peritoneal rupture. The wound used to retrieve the specimen was as posterior as possible to avoid being infected by the peritoneal dialysis catheter. Results: The RRN was successful and the patient did not develop either a peritoneal tear or require conversion to an open nephrectomy. The postoperative course was uneventful and the CAPD was reinitiated 8 days after surgery. No difficulties were associated with the transition to CAPD, and no complications occurred after the reinstatement of the regular CAPD regimen. Conclusion: This novel technique provides a safe dissection and ensures the preservation of the peritoneal boundary during RRN. The patient may continue CAPD with only a minimal interruption in treatment, while prevent the possible postoperative complication.
Current Urology – Karger
Published: Jan 1, 2011
Keywords: Laparoscopic surgery; Continuous ambulatory peritoneal dialysis; Radical nephrectomy; Retroperitoneum
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