Matthew H. Hayn, Timothy D. Averch, Stephen V. Jackman
Canadian Journal of Urology, Vol.16, No.4, pp. 4770-4773, 2009
Abstract Introduction: Surgical stress in patients with liver disease is associated with hepatorenal syndrome, coagulopathy, encephalopathy, sepsis, ARDS, and abnormalities of volume and electrolytes. These risks as well as the surgical difficulties associated with portal hypertension, varices, ascites, and thrombocytopenia limit the treatment options available to cirrhotic patients with renal masses. The decreased stress of laparoscopy may benefit patients with significant liver disease.
Methods: We performed a retrospective chart review of three patients with cirrhosis and renal masses who underwent laparoscopic renal surgery.
Results: The mean patient age was 56 years old. Two patients had Child-Pugh class B cirrhosis… More >