Clinical analysis of retroperitoneoscopic nephroureterectomy for renal tuberculosis

Abstract

Objectives: To explore the feasibility and safety of retroperitoneoscopic nephroureterectomy for kidney tuberculosis. Methods: Forty-eight retroperitoneoscopic nephroureterectomies and thirty-five nephroureterectomies for kidney tuberculosis procedures were performed from June 2008 to December 2014. The patients consisted of 53 males and 30 females with a mean age of 36 years (range: 26–51 years). The patients' data were reviewed and analyzed. Results: The retroperitoneoscopic nephroureterectomy procedures were completed successfully in 48 cases with no conversions to open surgery. The mean operating time was 170 minutes (range: 121–258 minutes), the mean blood loss was 110 ml (range: 70–250 ml), and the mean hospital stay was 5.70 days (range: 5–14 days); these were all much less than nephroureterectomy procedures (P  0.05). Seventy-five patients were followed up, and the average follow-up time was 12.5 months (range: 6–20 months). All the patients recovered without any lesions remaining. Conclusions: The results of this study indicate that retroperitoneoscopic nephroureterectomy is a feasible, safe, effective, and less invasive treatment modality for treating renal tuberculosis. Keywords: Renal tuberculosis, Retroperitoneoscopic, Nephroureterectomy