Bilateral nephrectomy in patients with end-stage renal failure and chronic active pyelonephritis


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Resumo

This study analyzed the results of bilateral nephrectomy in 14 patients with end-stage renal disease (ESRD) and chronic active pyelonephritis. Seven patients had urosepsis, and 10 patients had a purulent form of pyelonephritis, which was one-sided in 7 of them. In the early postoperative period, on average, after 9.3 days, 9 patients died. Statistically significant risk factors for death were: chronic hemodialysis, long-term antibiotic therapy, and existing sepsis. Intraoperative complications and postoperative morbidity were not significantly associated with death. The study results imply the need of differentiated approach to bilateral nephrectomy in patients with ESRD and risk factors for fatal outcome. It must be performed on the strong indications since the intervention does not lead to eradication of sepsis. It is advisable to perform "preventive, sanation" bilateral nephrectomy in the "cold period" in patients at risk for developing urosepsis.

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Sobre autores

M. Lysenko

City Hospital № 52

Department of Urology

V. Vtorenko

City Hospital № 52

Department of Urology

R. Trushkin

City Hospital № 52

Department of Urology

A. Lubennikov

City Hospital № 52

Email: lualev@yandex.ru
Department of Urology

A. Sysoev

City Hospital № 52

Department of Urology

A. Sokolov

City Hospital № 52

Department of Urology

Bibliografia

  1. Белорусов О.С. Горяйнов В.А., Волынчик Е.П. Билатеральная нефрэктомия в комплексе подготовки к аллотрансплантации почки. Тезисы докладов. Киев. 1985. C. 28-29
  2. Шумаков В.И., Ярмолинский И.С., Горяинов В.А., Филипцев П.Я. К вопросу об удалении собственных почек при пересадке почки. Трансплантация органов и тканей. Рига. 1972. С. 36-37
  3. Rozanski J., Kozlowska I., Myslak M. etal. Pretransplant nephrectomy in patients with autosomal dominant polycystic kidney disease. Transplant Proc. 2005;37(2):666-668.
  4. Knehtl M., Bevc S., Hojs R., Hlebic G., Ekart R. Bilateral nephrectomy for uncontrolled hypertension in hemodialysis patient: a forgotten option? Nephrol. Ther. 2014;10(7): 528-531.
  5. Sarnak M.J., Jaber B.L. Mortality caused by sepsis in patients with end-stage renal disease compared with the general population. Kidney Int. 2000;58(4):1758-1764.
  6. Пытель Ю.А., Золотарев И.И. Неотложная урология. М.: Медицина. 1985. С. 84-85
  7. Тиктинский О.Л., Калинина С.Н. Пиелонефриты. СпбМАПО: Медия Пресс. 1996. 69 с.

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