title: [The laparoscopic nephrectomy for polycystic kidney is feasible and reproducible].
abstract: OBJECTIVE
  The aim of our study was to report our experience of laparoscopic nephrectomy in patients with polycystic kidney disease.
  
  
  METHODS
  Between December 2007 and February 2012, we performed 39 consecutive laparoscopic nephrectomies in patients with polycystic kidneys. All patients were operated by a transperitoneal approach.
  
  
  RESULTS
  Patients had a mean age of 55 with an average BMI of 25 kg/m(2). Eighty-seven percent were ASA III and 77% were on dialysis. In most of the cases, the indication concerned patients who were candidates to a renal transplantation to make space for graft implantation. Operative time was 167 minutes with a mean blood loss of 200 mL. Two open conversions were necessary (splenic injury and difficulty of dissection of the renal pedicle). Fifteen percent of patients were transfused. There were 11 complications (28%) among which five were major (Clavien ≥ 3). Mean length of stay was 5.2 days.
  
  
  CONCLUSIONS
  Our study showed that laparoscopic nephrectomy for polycystic kidney is feasible and reproducible. We systematically offer it when indicated.
authors.affiliation: Service de chirurgie urologique, CHU de Rennes, 2, rue Henri-Le-Guillou, 35033 Rennes cedex, France. arnauddelreux@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Delreux
authors.forename: G
authors.initials: G
authors.lastname: Verhoest
authors.forename: R
authors.initials: R
authors.lastname: Mathieu
authors.forename: C
authors.initials: C
authors.lastname: Vigneau
authors.forename: N
authors.initials: N
authors.lastname: Rioux-Leclercq
authors.forename: K
authors.initials: K
authors.lastname: Bensalah
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D016891:Polycystic Kidney, Autosomal Dominant / Q000601:surgery*; D012189:Retrospective Studies