Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease.
Sao Paulo Med J
; 120(6): 189-91, 2002 Nov 01.
Article
in En
| MEDLINE
| ID: mdl-12563427
ABSTRACT
CONTEXT Dominantly autosomal polycystic disease is characterized by multiple bilateral and non-functional cysts, which lead to progressive kidney failure. OBJECTIVE:
Our objective was to report on a case of hand-assisted bilateral nephrectomy in a 28-year-old female patient with adult polycystic disease and recurring pyelonephritis in a kidney transplant program. CASE REPORT A hand-assisted bilateral nephrectomy was performed through a supra-umbilical median incision of approximately 6 cm, and with 3 ports of 10 mm. The length of the surgery was 3 hours and 15 minutes. The kidneys were removed after the aspiration of some cysts through the supra-umbilical incision. Pain control was achieved via the use of analgesics. The blood loss during surgery was 160 ml. During the postoperative period, the patient developed right-side pneumothorax, which was drained with no further occurrence. This drain was kept in place for 48 hours. The length of hospitalization was 4 days.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Polycystic Kidney, Autosomal Dominant
/
Laparoscopy
/
Nephrectomy
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
Sao Paulo Med J
Journal subject:
MEDICINA
Year:
2002
Document type:
Article
Affiliation country:
Brazil