Retroperitoneal laparoscopic radical nephrectomy for a patient undergoing peritoneal lavage after withdrawal of peritoneal dialysis

Abstract

A 64-year-old male patient began to receive peritoneal dialysis due to end-stage renal disease caused by nephrosclerosis in October 2008. However, peritoneal dialysis was switched to hemodialysis in September 2010 because of repeated episodes of peritonitis during continuous ambulatory peritoneal dialysis. Peritoneal lavage after withdrawal of peritoneal dialysis was performed to prevent the encapsulating peritoneal sclerosis. Then, small renal cell carcinoma was detected by abdominal computed tomography, and retroperitoneal laparoscopic radical nephrectomy was carried out. After surgery, peritoneal lavage was continued uneventfully in the same manner as before. Retroperitoneal laparoscopic radical nephrectomy is useful for patients undergoing peritoneal lavage after withdrawal of peritoneal dialysis.