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: 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

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

More Information
  • Received Date: March 15, 2020
  • 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.
  • 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.
  • Related Articles

    [1]WANG Aiying, ZHANG Xiaopeng, ZHANG Xin, FAN Lin. Relationships of serum levels of endocan, interleukin-1α and YKL-40 with disease severity and prognosis in children with recurrent respiratory infection[J]. Journal of Clinical Medicine in Practice, 2025, 29(6): 7-12. DOI: 10.7619/jcmp.20243261
    [2]FANG Hua, LIU Xiang, CHEN Jiang, WANG Guobing. Expression and clinical value of G-protein coupled receptor 15 ligand in systemic lupus erythematosus[J]. Journal of Clinical Medicine in Practice, 2024, 28(24): 57-62, 67. DOI: 10.7619/jcmp.20242016
    [3]MIN Li, WANG Jin, DONG Xiangyu. Value of human cartilage glycoprotein-39 and N-terminal prohormone of brain natriuretic peptide in coronary artery injury in children with Kawasaki disease[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 1-5. DOI: 10.7619/jcmp.20233640
    [4]CHEN Li, JI Huijuan, REN Libin, ZHANG Hongfeng, SUO Xiaohui, LIU Hongfeng, XIA Limin. Effect of alkylation repair protein B homolog 5 on drug resistance of K562/adriamycin cells by regulating enhancer of Zeste homolog 2[J]. Journal of Clinical Medicine in Practice, 2022, 26(7): 87-92. DOI: 10.7619/jcmp.20213953
    [5]XU Gang. Value of combined detection of urinary albumin-to-creatinine ratio, β2 microglobulin and retinol binding protein in early diagnosis of diabetic nephropathy[J]. Journal of Clinical Medicine in Practice, 2020, 24(21): 86-89. DOI: 10.7619/jcmp.202021025
    [6]MIAO Yuli, YANG Weixia, FU Xin, SHI Congyan. Correlation between serum human epididymis protein 4, carbohydrate antigen 125, human cartilage glycoprotein 39 levels and pathological features in patients with ovarian cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(4): 26-30. DOI: 10.7619/jcmp.202004007
    [7]NIE Jingtao. Efficacy of fangji huangqi decoction in treatment of patients with primary nephrotic syndrome in edema period and its influence on 24 h urinary protein,serum albumin and blood lipid[J]. Journal of Clinical Medicine in Practice, 2017, (1): 48-51. DOI: 10.7619/jcmp.201701014
    [8]ZHANG Huayong, LIANG Jun, XU Zhiye, HUA Bingzhu. Effect of urine protein to creatinine ratio on assessment of proteinuria in patients with lupus nephritis[J]. Journal of Clinical Medicine in Practice, 2016, (23): 47-49. DOI: 10.7619/jcmp.201623014
    [9]DING Xiaolian, LIU Lianye. Influence of liposome prostaglandin vector agent on levels of β2-MG and TXB2 in patients with diabetic nephropathy[J]. Journal of Clinical Medicine in Practice, 2015, (7): 50-52. DOI: 10.7619/jcmp.201507014
    [10]LIU Yan, FAN Jiangtao, LI Dahai. Application of YKL-40 protein detection in the diagnosis of ovarian cancer[J]. Journal of Clinical Medicine in Practice, 2015, (3): 88-91. DOI: 10.7619/jcmp.201503026
  • Cited by

    Periodical cited type(1)

    1. 吴晓文,李军,尧国胜,韦凌云,黄高. 不同人工肝治疗在急性肝衰竭治疗中的临床疗效对比研究. 智慧健康. 2024(25): 96-98+101 .

    Other cited types(2)

Catalog

    Article views (363) PDF downloads (10) Cited by(3)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return