Simplified upper pole nephrectomy: initial experience



Document title: Simplified upper pole nephrectomy: initial experience
Journal: International braz j urol
Database: PERIÓDICA
System number: 000296805
ISSN: 1677-5538
Authors: 1
2



Institutions: 1Universidade Federal da Bahia, Hospital San Rafael, Salvador, Bahia. Brasil
2Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Ribeirao Preto, Sao Paulo. Brasil
Year:
Season: Mar-Abr
Volumen: 31
Number: 2
Pages: 157-160
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, descriptivo
English abstract OBJECTIVE: To assess the results of an upper pole nephrectomy technique on 5 children. MATERIALS AND METHODS: Upper pole nephrectomy was performed on 5 children, including 4 females and 1 male. Age ranged from 3 to 6 years old. The technique was performed without initial dissection of the renal pedicle. The upper pole is incised and removed. Upon its complete dissection, the segment that drains the upper pole is easily identified, clamped and sectioned. RESULTS: Three children with ureterocele and 2 with ectopic ureter underwent this procedure. There was no intra- or postoperative complication with this technique. DSMA scintigraphy showed no decrease in renal function in the remaining kidney following the procedure. CONCLUSION: The polar nephrectomy technique is simple, and has the advantage of not approaching the renal hilum, which makes surgery less laborious and prevents risk of renal damage, hemorrhage and decreased function in the remaining renal portion
Disciplines: Medicina
Keyword: Cirugía,
Pediatría,
Riñones,
Ureteros,
Niños,
Ureterocele,
Técnicas quirúrgicas,
Nefrectomía
Keyword: Medicine,
Pediatrics,
Surgery,
Kidneys,
Ureters,
Children,
Ureterocele,
Surgical techniques,
Nephrectomy
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