medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2014, Number 2

<< Back Next >>

Acta Med 2014; 12 (2)

Simultaneous bilateral nephrectomy in renal transplantation: experience at the Nuevo Hospital Sanatorio Durango

López VJO, Navarro VCI, Hernández OJL, Hernández AS, Cardona PMA

Language: Spanish
References: 20
Page: 71-75
PDF size: 123.28 Kb.


ABSTRACT

In renal transplant, controversy still exists regarding specific cases where native kidney nephrectomy is needed and when to perform renal transplantation. This work deals with a group of eight patients from the Centro Hospitalario Nuevo Sanatorio Durango, with clear indication of nephrectomy, in whom we decided to perform renal transplantation simultaneously. The group consisted of four men and four women; the mean age was 26.3 years, all received living donor transplants. The mean time from the diagnosis of chronic kidney disease to the surgical event was 30.5 months; the renal replacement therapy was hemodialysis for four patients, peritoneal dialysis for two, and two more received no treatment. The indication for nephrectomy was vesicoureteral reflux in seven patients and polycystic kidney disease in one. The mean surgical time was 249 minutes, the average trans-surgical bleeding was 425 mL, the mean pretransplant serum creatinine was 8.5 mg/dL, and the mean serum creatinine a year after the transplant was 1.08 mg/dL. In this study we observed that performing both major procedures simultaneously did not affect the graft function.


REFERENCES

  1. The operative technique of vascular anastomoses and the transplantaion of viscera. Clinical Orthoapaedics & Related Research. 1963; 29: 3-6. Translation of: Carrel A. La technique opératoire des anastomoses vasculaires et la transplantation des viscères. Medicine de Lyon. 1902; 98: 859.

  2. Peña C. Historia del trasplante renal en el INCMNSZ. Rev Invest Clin. 2005; 57 (2): 120-123.

  3. Linden PK. History of solid organ transplantation and organ donation. Critical Care Clinics. 2009; 25 (1): 165-184.

  4. Cervantes CL. Pruebas de histocompatibilidad en el programa de trasplantes. Rev Invest Clin. 2005; 5 (2): 142-146.

  5. Wilson PD. Polycystic Kidney Disease. N Eng J Med. 2004; 350: 2.

  6. Chapin HC, Caplan MJ. The cell biology of polycystic kidney disease. J Cell Biol. 2010; 191 (4): 701-710.

  7. Durán-Álvarez S, Enfermedad renal poliquística autosómica dominante. Rev Cubana Pediatr. 2007; 79 (3).

  8. Pérez-Clemente LM, Durán-Casal DP, Marchena-Bequer JJ, Pérez del Campo Y, Rodríguez-Téllez Y et al. Cicatriz Renal: factores de riesgo relacionados con infección urinaria. Rev Cubana Pediatr. 2007; 79 (2).

  9. Saura-Hernández M, Morell-Contreras J, Florin-Yrabién Y, Díaz-Calderín D, Durán Casal et al. Nefropatía por reflujo, estudio a 15 años. Bol Pediatr. 2005; 45: 23-28.

  10. Durán-Álvarez S. Reflujo vesicoureteral: conceptos actuales. Rev Cubana Pediatr. 2000; 72 (2): 132-143.

  11. Errasti MP. Trasplante renal. An Sist Sanit Navar. 2006; 29 (2): 79-91.

  12. Gómez FJ. Nefrectomía bilateral en diálisis. Nefrología. 1996; 16 (6): 481-486.

  13. Calman KC, Bell PR, Briggs JD, Hamilton DN, MacPherson SG, Paton AM. Bilateral nephrectomy prior to renal transplantation. Br J Surg. 1976; 63 (7): 512-516.

  14. Darby CR, Cranston D, Raine AE, Morris PJ. Bilateral nephrectomy: indications, surgical approach, morbidity and mortality. Br J Surg. 1991; 78 (3): 305-307.

  15. Kaplan JR, Sung RS, Wolf JS. Bilateral native nephrectomy: before or after renal transplantation? UIJ. In press. doi:10.3834/uij.1939-4810.2008.12.04.

  16. Tabibi A, Simforoosh N, Abadpour P, Gholamrezaie HR, Nafar M. Concomitant nephrectomy of massively enlarged kidney and renal transplantation in autosomal dominant polycystic kidney disease. Transplant Proc. 2005; 37 (7): 2939-2940.

  17. Kramer A, Sausville J, Haririan A, Bartlett S, Cooper M, Phelan M. Simultaneous bilateral native nephrectomy and living donor renal transplantation are successful for polycystic kidney disease: The University of Maryland experience. J Urol. 2009; 181 (2): 724-728.

  18. Ismail HR, Flechner SM, Kaouk JH, Derweesh IH, Gill IS et al. Simultaneous vs. sequential laparoscopic bilateral native nephrectomy and renal transplantation. Transplantation. 2005; 80 (8): 1124-1127.

  19. Glassman DT, Nipkow L, Bertlett ST, Jacobs SC. Bilateral nephrectomy with concomitant renal graft transplantation for autosomal dominant polycystic kidney disease. J Urol. 2000; 164 (3 pt 1): 661-664.

  20. Drognitz O, Kirste G, Schramm I, Assmann A, Pohl M, Gobel H et al. Kidney transplantation with concomitant unilateral nephrectomy: a matched pair analysis on complications and outcome. Transplantation. 2006; 81: 874.




2020     |     www.medigraphic.com