Cắt thận đa nang hai bên đồng thời chuẩn bị cho bệnh nhân ghép thận: kinh nghiệm tại Bệnh Viện Trung Ương Huế

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Tác giả: Vương Thắng Hoàng, Nguyên Kha Lê, Văn Hiếu Lê, Kim Tuấn Nguyễn, Văn Quốc Anh Nguyễn, Ngọc Hùng Phạm, Hữu Quốc Việt Phan, Minh Tuấn Trương, Văn Cẩn Trương, Đại Hồng Phúc Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2024

Mô tả vật lý: tr.24-29

Bộ sưu tập: Báo, Tạp chí

ID: 372025

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ABSTRACT SIMULTANEOUS BILATERAL POLYCYSTIC NEPHRECTOMY TO PREPARE FOR KIDNEY TRANSPLANT: EXPERIENCE AT HUE CENTRAL HOSPITAL Pham Ngoc Hung1, Hoang Vuong Thang1, Truong Van Can1, Nguyen Kim Tuan1, Vo Dai Hong Phuc1, Nguyen Van Quoc Anh1, Phan Huu Quoc Viet1, Truong Minh Tuan1, Le Nguyen Kha1, Le Van Hieu1 Purpose: To report the experience of Hue Central Hospital in treating polycystic kidneys with bilateral nephrectomy to prepare patients for kidney transplant. Subjects and Methods: Retrospective descriptive study of bilateral polycystic kidney patients undergoing simultaneous bilateral nephrectomy to prepare for kidney transplant at Hue Central Hospital from January 2019 to March 2023. Results: 28 patients underwent surgery including 13 men and 15 women
average age is 49 (28 - 59). Family history of polycystic kidney disease was found in 69.2%
100% of hemodialysis cases. Common clinical symptoms are low back pain (71.4%)
gross hematuria (46.4%). Computed tomography of the urinary system showed an average longitudinal kidney size of 26.5 ± 9.4 cm, and an average largest kidney cyst size of 5.7 ± 2.7 cm. The average surgical time was 111 (88 - 175) minutes. Complications during and after surgery with fever >
380C (25%)
postoperative intestinal obstruction (17.9%)
bleeding requiring blood transfusion (3.6%). Conclusions: Simultaneous bilateral polycystic nephrectomy before kidney transplant is a safe and effective treatment method, helping to create space for the transplanted kidney and prevent complications of polycystic kidney.Mục tiêu: Báo cáo kinh nghiệm của bệnh viện Trung ương Huế trong việc điều trị thận đa nang bằng phẫu thuật cắt thận hai bên cùng lúc chuẩn bị cho bệnh nhân ghép thận. Đối tượng, phương pháp: Nghiên cứu mô tả, hồi cứu các bệnh nhân thận đa nang hai bên được phẫu thuật cắt thận hai bên đồng thời để chuẩn bị ghép thận tại bệnh viện Trung ương Huế từ tháng 01/2019 đến tháng 03/2023. Kết quả: Tổng số 28 bệnh nhân được phẫu thuật bao gồm 13 nam và 15 nữ
tuổi trung bình là 49 (28 - 59). Tiền sử gia đình mắc thận đa nang là 69,2%
100% trường hợp chạy thận nhân tạo. Các triệu chứng lâm sàng hay gặp là đau hông lưng (71,4%)
đái máu đại thể (46,4%). Cắt lớp vi tính hệ tiết niệu cho thấy kích thước dọc thận trung bình 26,5 ± 9,4 cm, kích thước nang thận lớn nhất trung bình 5,7 ± 2,7 cm. Thời gian phẫu thuật trung bình là 111 (88 - 175) phút. Biến chứng trong và sau phẫu thuật với sốt >
380C (25%)
tắc ruột sau mổ (17,9%)
chảy máu cần phải truyền máu (3,6%). Kết luận: Phẫu thuật cắt thận đa nang hai bên đồng thời trước ghép thận là một phương pháp điều trị an toàn, hiệu quả, giúp tạo khoảng trống cho thận ghép và dự phòng các biến chứng của thận đa nang.

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