| Title |
Natyvinės nefrektomijos, atliktos rengiant pacientus inkstų transplantacijai, rezultatai / |
| Another Title |
Results of native nephrectomy before planned renal transplantation. |
| Authors |
Ramonas, Henrikas ; Aleknienė, Dalia ; Mateikaitė, Kastė ; Bazarauskaitė, Rosita |
| DOI |
10.15388/LietChirur.2014.1.2951 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2014, t. 13, nr. 1, p. 19-24.. ISSN 1392-0995 |
| Keywords [eng] |
pretransplant nephrectomy ; renal polycystosis ; haemodialysis assessment ; renal transplantation |
| Abstract [eng] |
Objective The goal of this paper is to establish the efficiency of pretransplant native nephrectomies performed in the patients being prepared for renal transplantation. Patients and methods A retrospective study has been performed with 49 patients who had native nephrectomies in the period 1999–2009. The average age of the patients was 44.9 years. Nephrectomies were performed in 23 patients (46.9%) due to a polycystic kidney disease, in 13 patients (26.6%) due to a kidney stone disease, in 8 patients (16.3%) due to an obstructive nephropathy, and in 5 patients (10.2%) for other reasons. Simultaneous bilateral nephrectomy was performed in 24 patients. The effectiveness was evaluated by analysing intraoperatve postoperative complications of native nephrectomies, complications of haemodialysis assess, and the rate of kidney transplantations before the year 2012 was assessed. Results Intraoperative complications were diagnosed in 3 patients (5.4%) and postoperative complications in 8 (14.3%) cases. The most common complication was postoperative bleeding. Perirenal fibrosis was the most common cause of these complications. Nine patients (18.4%) had a thrombosis of the arteriovenous fistula. After pre-transplant native nephrectomies, 28 patients (60.9%) underwent the renal transplantation surgery. Conculusions Pretransplant native nephrectomies associated with intraoperative complications occurred in 5.4%, postoperative complications in 14.3%, and thrombosis of arteriovenous fistula in 18.4% of cases. When performing native nephrectomies, the main goal – preparation for renal transplantation – was reached in 69.6% : 60.9% of patients had a transplantation, whereas 8.7% of patients remained on the active list of those waiting for renal transplantation. |
| Published |
Vilnius : Lietuvos chirurgų asociacija |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2014 |
| CC license |
|
