Simultaneous bilateral polycystic nephrectomy to prepare for kidney transplant: experience at Hue Central Hospital

• Tác giả: BBT Y học lâm sàng
• Ngôn ngữ: eng
• Thông tin xuất bản: Journal of Clinical Medicine – Hue Central Hospital, 2024
• Mô tả vật lý: tr.24-29
• Bộ sưu tập: Báo, Tạp chí
• ID: 375883

Tóm tắt

 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.