V5-11: COMPLICATIONS OF LAPAROSCOPIC RENAL SURGERIES

Video

Introductions and Objectives
Laparoscopic approach is becoming standard of care for benign and malignant renal pathologies. Despite growing acceptance of laparoscopy among urologist and patients, there is always potential for wide range of complications. We present a video demonstration of complications of laparoscopic renal surgeries.

Methods
All patients who developed complications during laparoscopic donor nephrectomy, radical nephrectomy, partial nephrectomy and pyeloplasty were included in this retrospective study. Patient’s clinical profile, investigation details, operative and postoperative profile were recorded in details. Event of complication was recorded in detail. Data was analyzed.

Results
Total 17 patients developed major intraoperative complications. Diaphragmatic injury-3, renal vein injury - 4, bowel injury-3, spleen laceration-2, renal artery spasm- 3, bleeding from renal artery stump-1, aortic injury-1 were encountered. All complications were managed laparoscopically except 2 patients. In first patient emergency conversion was performed for bleeding from renal artery stump during laparoscopic right donor nephrectomy. In second patient duodenal injury was recognized during 2nd postoperative period for which exploratory laparotomy was performed to repair the duodenal injury. Both patients recovered well without any complications.

Conclusions
One should be aware of potential complications during laparoscopic renal surgeries and care should be taken to prevent them. Many times, these can be managed laparoscopically. However, there should not be any hesitation to convert the procedure to open.

Funding: None