title: [Laparoscopic nephrectomy for polycystic kidneys: principles and results].
abstract: OBJECTIVE
  To evaluate the feasibility and morbidity of laparoscopic nephrectomy in patients with autosomal dominant polycystic kidney disease (ADPK).
  
  
  METHODS
  This is a retrospective multi-centre study (University Hospitals of Lyons, Toulouse, Nantes and Rennes). Sixty-eight patients who had undergone laparoscopic nephrectomy for polycystic kidney disease between November 1999 and May 2009 were included. This involved unilateral nephrectomy 64 cases, one-stage bilateral in one case and two-stage bilateral in three cases.
  
  
  RESULTS
  The mean operating time was 218±74min (100-420) Conversion was necessary in 7 cases. The mean weight of the removed kidney was 1291±646g (240-3400). We regret to report 20 postoperative complications, including one death on postoperative day 50, following an abscess in the renal pelvis, 6 retroperitoneal haemoatomas and 5 arteriovenous fistula thromboses. Postoperative analgesia involved PCA treatment with morphine for a mean period of 1.59±0.8 days (0.5-4). The mean length of hospital stay was 8.3±6.1 days (3-50).
  
  
  CONCLUSIONS
  This study shows the feasibility of the laparoscopic approach for nephrectomy in ADPK. This procedure should be performed by experienced laparoscopic surgeons. Indeed, the complication rate is moderate but there is still a risk of severe complications.
  
  
  METHODS
  5.
authors.affiliation: Service d'urologie, centre hospitalier universitaire Lyon-Sud, 65, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France. Electronic address: aurelien.scalabre@chu-lyon.fr.
authors.forename: A
authors.initials: A
authors.lastname: Scalabre
authors.affiliation: Service d'urologie, centre hospitalier régional universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: J-J
authors.initials: JJ
authors.lastname: Patard
authors.affiliation: Service d'urologie, centre hospitalier régional universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Delreux
authors.affiliation: Service d'urologie, centre hospitalier universitaire de Rangueil, 1, avenue du Professeur-Jean-Poulhès, 31059 Toulouse, France.
authors.forename: M
authors.initials: M
authors.lastname: Roumiguié
authors.affiliation: Service d'urologie, centre hospitalier universitaire de Rangueil, 1, avenue du Professeur-Jean-Poulhès, 31059 Toulouse, France.
authors.forename: X
authors.initials: X
authors.lastname: Gamé
authors.affiliation: Service d'urologie, centre hospitalier régional universitaire Pontchaillou, 2, rue Henri-Le-Guilloux, 35033 Rennes, France.
authors.forename: K
authors.initials: K
authors.lastname: Bensalah
authors.affiliation: Service d'urologie, Hôtel-Dieu, centre hospitalier universitaire de Nantes, place Alexis-Ricordeau, 44093 Nantes, France.
authors.forename: J
authors.initials: J
authors.lastname: Rigaud
authors.affiliation: Service d'urologie, centre hospitalier universitaire Lyon-Sud, 65, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.
authors.forename: P
authors.initials: P
authors.lastname: Paparel
mesh_terms: D000328:Adult; D000368:Aged; D061887:Conversion to Open Surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D061646:Operative Time; D007690:Polycystic Kidney Diseases / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies
keywords: Laparoscopic; Laparoscopie; Nephrectomy; Néphrectomie; Polycystic kidney disease; Polykystose rénale; Renal transplantation; Transplantation rénale