Journal List > Korean J Urol > v.48(11) > 1004818

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Seo and Rim: Early Experience of Laparoscopic Nephropexy
Original Article
Korean Journal of Urology

Korean Journal of Urology 2007; 48(11): 1139-1142.

Published online: 30 November 2007

DOI: https://doi.org/10.4111/kju.2007.48.11.1139

Early Experience of Laparoscopic Nephropexy

Ill Young Seo, Joung Sik Rim

Department of Urology and the Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.

Corresponding author (seraph@wonkwang.ac.kr)

Received 27 July 2007       Accepted 3 September 2007

Copyright © 2007 The Korean Urological Association

Abstract

Purpose

We evaluated the feasibility of laparoscopic nephropexy for treating patients with symptomatic nephroptosis according to our early experiences.

Materials and Methods

Between June 2005 and June 2006, 3 patients with nephroptosis underwent laparoscopic nephropexy. They presented with long-standing flank pain. Nephroptosis was confirmed with performing supine and erect excretory urography (EU). The mean age of the 3 women was 40.7 years old, and their mean body mass index was 19.3kg/m2. The mean length of the nephroptosis was 7.5cm on EU. The operation was performed with a 3 trocar system through the transperitoneal approach. The renal capsule and parenchyme were fixed to the fascia of the quadratus lumborum muscle using 2-0 black silk.

Results

Laparoscopic nephropexy was performed successfully in all patients. The mean operative time was 58.3 minutes. There was no operative complication and transfusion. Initiation of the oral intake and ambulation took place on postoperative day 1. The mean hospital stay was 5.7 days. Flank pain disappeared in 2 patients, and it was decreased in one patient for the 17.7 months of the mean follow-up. The mean length of the nephroptosis was 3.0cm on postoperative EU.

Conclusions

Laparoscopic nephropexy for treating symptomatic nephroptosis could be performed easily and safely with an excellent outcome.

Keywords: Laparoscopy, Kidney, Kidney diseases

Figures and Tables

Fig. 1
Trocar positioning for the right laparoscopic nephropexy. A: 5/11mm trocar for laparoscope, B: 5/11mm trocar, C: 5mm trocar.
kju-48-1139-g001
Fig. 2
Intracorporeal sutures for renal fixation. A needle with 2-0 silk was stitched into the renal capsule and parenchyme at the superior and lateral borders (A). It was placed into the fascia of the quadratus lumborum (B).
kju-48-1139-g002
Table 1
Patient characteristics and preoperative data
kju-48-1139-i001

BMI: body mass index, UTI: urinary tract infection, EU: excretory urography, T1/2: half-time of diuretic renogram in 99mTc-MAG3 renal scan

Table 2
Operative and postoperative data
kju-48-1139-i002

EU: excretory urography, T1/2: half-time of diuretic renogram

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