Analysis in related factors of patients with non-functional renal tuberculosis transferring from retroperitoneal laparoscopic nephrectomy to open surgery in intraoperation

LIU Jianhua; CUI Zhenpeng; ZHANG Lijun; LI Junxiao; CHEN Qiliang

doi:10.7619/jcmp.202013029

Journal of Clinical Medicine in Practice > 2020 > 24(13): 104-107. > DOI: 10.7619/jcmp.202013029

LIU Jianhua, CUI Zhenpeng, ZHANG Lijun, LI Junxiao, CHEN Qiliang. Analysis in related factors of patients with non-functional renal tuberculosis transferring from retroperitoneal laparoscopic nephrectomy to open surgery in intraoperation[J]. Journal of Clinical Medicine in Practice, 2020, 24(13): 104-107. DOI: 10.7619/jcmp.202013029

Citation:

PDF (582 KB)

Analysis in related factors of patients with non-functional renal tuberculosis transferring from retroperitoneal laparoscopic nephrectomy to open surgery in intraoperation

1. Shaanxi Provincial Tuberculosis Prevention and Control Hospital, Xi'an, Shaanxi, 710100;
2. The 521^st Hospital of Ordnance Industry, Xi'an, Shaanxi, 710065;
3. Minda Hospital Affiliated to Hubei University for Nationalities, Enshi, Hubei, 445000

More Information

Received Date: March 15, 2020

Graphical Abstract

Abstract

Abstract

Objective To explore the related factors of patients with non-functional renal tuberculosis transferring from retroperitoneal laparoscopic nephrectomy to open surgery in intraoperation. Methods A total of 93 patients with non-functional renal tuberculosis underwent retroperitoneal laparoscopic nephrectomy were selected as research objects. The patients transferring from retroperitoneal laparoscopic nephrectomy to open nephrectomy due to severe adhesion of the surrounding tissues of the resected kidney were selected as study group, and those without surgery conversion were included in control group. The age, gender, body mass index(BMI), complicating with diabetes mellitus as well as hypertension, position of kidney excision, size, calcification, peripheral exudation of the resected kidney as well as contralateral hydronephrosis, the duration of preoperative antituberculosis treatment in the two groups were compared and analyzed. Results Twenty-one patients were converted to open nephrectomy, accounting for 22.58%. The BMI, the ratio of complicating with diabetes mellitus, ratio of diameter of resected kidney above 10 cm, and the ratio of duration of preoperative antituberculosis treatment ≤3 months in the study group were higher than those in the control group, the differences were statistically significant(P<0.05 or P<0.01). The results of Logistic multiple regression analysis showed that the conversion from retroperitoneal laparoscopic nephrectomy to open nephrectomy for - non-functional renal tuberculosis was correlated with complicating with diabetes mellitus, the size of resected kidney, the duration of preoperative antituberculosis treatment(P<0.01). Conclusion The conversion from retroperitoneal laparoscopic nephrectomy to open nephrectomy for non-functional renal tuberculosis is related to diabetes mellitus, the size of resected kidney, the duration of preoperative antituberculosis treatment. The clinicians should comprehensively evaluate and effectively intervene the related factors to enhance the success rate of laparoscopic nephrectomy, decrease the risk of conversion to open nephrectomy, and reduce surgical trauma.
- non-functional renal tuberculosis,
- retroperitoneal laparoscopic nephrectomy,
- open nephrectomy,
- related factors

FullText(HTML)

References (18)

References

DU J, SHU W, LIU Y H, et al. Multicenter feasibility study to assess external quality panels for molecular diagnostics for tuberculosis in China[J]. Eur J Clin Microbiol Infect Dis, 2020, 39(2): 339-343.

LU Z H, JIANG W H, ZHANG J, et al. Drug resistance and epidemiology characteristics of multidrug-resistant tuberculosis patients in 17 Provinces of China[J]. PLoS One, 2019, 14(11): e0225361.

伏旭, 李笑然. 肾结核发病率升高病因的研究进展[J]. 泌尿外科杂志: 电子版, 2018, 10(4): 45-49

, 60.

冯瑶, 陈建霞, 李海燕. 结核性无功能肾手术31例护理体会[J]. 中国乡村医药, 2016, 23(5): 75-76.

陈光彪, 湛海伦, 周建新, 等. 腹腔镜结核性无功能肾切除的手术技巧[J]. 中华腔镜外科杂志: 电子版, 2015, 8(4): 41-43.

中华医学会. 临床诊疗指南·结核病分册[M]. 北京: 人民卫生出版社, 2004: 43-46.

徐博, 王晓庆, 郝元元, 等. 后腹腔镜治疗无功能肾结核中转开放风险因素分析[J]. 重庆医科大学学报, 2016, 41(2): 205-209.

黎灿强, 杨毅, 何伟成, 等. 完全性后腹腔镜下肾输尿管全长切除术治疗肾结核的临床体会[J]. 中国内镜杂志, 2017, 23(4): 106-109.

宁忠运, 丁辉, 包军胜, 等. 经腹腹腔镜和后腹腔镜与开放性肾癌根治手术的疗效比较[J]. 临床泌尿外科杂志, 2017, 32(5): 348-352.

王强, 蔡明, 石炳毅, 等. 158例后腹腔镜下结核肾切除术临床分析[J]. 解放军医学院学报, 2015, 36(8): 794-796

, 800.

XU B, HU J H, CHEN A X, et al. Risk factors related with retroperitoneal laparoscopic converted to open nephrectomy for nonfunctioning renal tuberculosis[J]. J Endourol, 2017, 31(6): 588-592.

姚宇驰, 商中华. 腹腔镜胆囊切除术联合腹腔镜胆总管探查术中转开腹的危险因素探讨及临床分析[J]. 中国普通外科杂志, 2018, 27(8): 989-997.

王荣东, 李峰. 腹腔镜中转开腹术治疗急性结石性胆囊炎相关因素Logistic回归分析[J]. 中南医学科学杂志, 2019, 47(4): 386-388

, 399.

SUPRIYADI R, DARMAWAN G, PRANGGONO E H. Renal tuberculosis: the masquerader[J]. Acta Med Indones, 2019, 51(4): 353-355.

SILVA G B JUNIOR, BRITO L D, RABELO S T, et al. Chronic kidney disease related to renal tuberculosis: a case report[J]. Rev Soc Bras Med Trop, 2016, 49(3): 386-388.

唐宗青. 2型糖尿病合并肺结核患者免疫学指标的检测及临床意义[J]. 检验医学与临床, 2014, 11(7): 934-935.

刘娜. 糖尿病合并肺结核患者外周血T淋巴细胞Rho激酶活性变化及其意义[J]. 临床肺科杂志, 2018, 23(9): 1569-1571

, 1577.

甘发连, 朱璞太. 抗结核化疗联合外科手术治疗无功能性肾结核临床效果分析[J]. 中国医学前沿杂志: 电子版, 2016, 8(7): 127-130.

Cited By

Cited by

Periodical cited type(3)

1.	李志新，付殿跃，焦永波. 针刺足三里对肠系膜淋巴结炎小鼠炎症反应的影响及机制研究. 实用临床医药杂志. 2025(02): 96-101 . 本站查看
2.	杜晓娟，王继辉，尚建房. 艾灸疗法联合头孢克洛在急性肠系膜淋巴结炎脾胃虚寒证患儿中的应用效果. 反射疗法与康复医学. 2024(18): 32-35 .
3.	郭晓松，赵霓，闫凌. 艾灸疗法对脾胃虚寒型急性肠系膜淋巴结炎患儿淋巴结大小及临床症状的影响. 反射疗法与康复医学. 2024(13): 1-4 .

Other cited types(2)

Get Citation

PDF

XML

Article views (365) PDF downloads (10) Cited by(5)

Turn off MathJax

Article Contents

Abstract

References

Analysis in related factors of patients with non-functional renal tuberculosis transferring from retroperitoneal laparoscopic nephrectomy to open surgery in intraoperation

Abstract

References

Cited by

Periodical cited type(3)

Other cited types(2)

Catalog

Export File

Citation

Format

Content