| Objective We aimed to retrospectively investigate the surgical results between laparoscopic and open surgery for the nonfunctional tuberculous kidneys.Methods 63 nephrectomies were performed between May 2011 and May 2014 due to the nonfunctional tuberculous kidney. Of these patients, 26 patients underwent retroperitoneal laparoscopic nephrectomy and 37 patients underwent open nephrectomy. Data of patients’ characteristics and surgical outcomes were collected from the electronic medical records. Outcomes were compared between these two groups.Result Our results showed that a number of renal tuberculous patients presented no significant symptoms during the disease course. The rate of each symptom was demonstrated as lower urinary tract symptom(LUTS)(35/63), flank pain or accidently discover(37/63), urine abnormality(12/63) and fever(15/63), respectively. Patient underwent open surgery was similar with laparoscopic patients with regard to sex, BMI, location, previous tuberculous history, ASA grade, anemia, adhesion, hypertension, diabetes and preoperative serum creatinine level, but older than laparoscopic patients. There was no significantly statistical difference between open and laparoscopic surgery in estimated blood loss, transfusion, postop hospital days and perioperative complication rate. While the median operation time of laparoscopic operation was much longer than open surgery(180 [150-250] vs 142 [125-172.5] minutes, P=0.01). After propensity score matching, the outcomes were not altered.Conclusion The present study preliminarily demonstrates that laparoscopic nephrectomy is an effective treatment as open nephrectomy for nonfunctional tuberculous kidney, although it takes longer during the surgical procedure. No significant differences in other outcomes were observed. However, given the sample size of this study, larger prospective studies are needed to verify these results. |
