Successful laparoscopic nephrectomy at Cua Dong General Hospital
(Baonghean.vn) - Laparoscopic nephrectomy is a difficult technique. To routinely perform this technique in a hospital, many important factors are required, such as: highly specialized doctors, experience and proficient skills of the surgeon, along with modern equipment and machinery.
Recently,Cua Dong General HospitalSuccessfully performed laparoscopic surgery to remove a large, dysfunctional hydronephrosis left kidney due to ureteral stenosis for patient Doan Thi Th. (38 years old).
Patient Th. had a history of left ureteral stones causing hydronephrosis, and had undergone retrograde endoscopic lithotripsy 3 years ago. This time, Ms. Th. was admitted to the hospital with pain in the left lumbar region, continuous pain, dull pain for a long time, pain radiating to the lower abdomen and genitals, and mild fever. Through the examination process combined with test results, ultrasound and CT scan showed that the left kidney was very large, the parenchyma was very thin, the fluid was not uniform, the renal pelvis was dilated grade III, and the ureter was dilated 15mm. The results of the UIV scan (urinary system with contrast agent) showed that the left kidney was completely dysfunctional with hydronephrosis, the right kidney was normal in size and function.
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| X-ray image of the patient. Photo: PV |
Based on the results of the paraclinical examination, the doctors consulted with specialists, the patient was diagnosed with: Urinary tract infection, left kidney hydronephrosis, kidney failure. After stable antibiotic treatment, the white blood cell count returned to normal, the patient no longer had pain or fever. The patient was indicated for laparoscopic surgery to remove the left kidney through the retroperitoneal route. The surgery took place in 1 hour and was considered successful.
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| The team of doctors at Cua Dong General Hospital is performing laparoscopic surgery to remove the left kidney through the retroperitoneum for the patient. Photo: PV |
One day after surgery, the patient was able to eat porridge and walk by himself. Because laparoscopic surgery was performed, the patient's hospital stay was shortened by 5-7 days compared to open surgery.
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| Patient Doan Thi T. recovered well after surgery. Photo: PV |
MSc. Doctor Thai Doan Cong - Head of Surgery Department, Cua Dong General Hospital, who directly performed the surgery, said:The outstanding advantage of laparoscopic nephrectomy is that it is minimally invasive. The surgery is performed through small incisions on the abdominal wall, so it is less painful than conventional open surgery. In addition, this surgery is also considered safe, bringing many benefits to patients during treatment and recovery, maintaining the patient's quality of life. Although it is considered safe, this technique still has potential risks. Therefore, patients stillneed to have regular check-ups, detect and treat stones to avoid complications requiring kidney removal”.
Laparoscopic nephrectomy is currently being routinely performed at Cua Dong General Hospital. With a team of highly qualified and well-trained doctors and nurses, along with a system of advanced medical equipment and quality medical services, the hospital is an address for examination, preventive treatment, screening and screening of urinary diseases with high efficiency; meeting the increasing demand for medical examination and treatment of the people./.