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[Partial nephrectomy in lithiasis].

N A Cruz Guerra1, E García Cuerpo, J L Sanz Migueláñez

  • 1Unidad de Litotricia, Servicio de Urología, Hospital Ramón y Cajal, Madrid, España.

Archivos Espanoles De Urologia
|February 24, 2001
PubMed
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Partial nephrectomy is a viable treatment for kidney stones (renal lithiasis), especially when the affected kidney unit has minimal function. This surgical approach preserves renal function in most patients long-term.

Area of Science:

  • Urology
  • Nephrology
  • Surgical Pathology

Context:

  • Renal lithiasis management presents challenges, particularly in cases with prior treatments like extracorporeal shock wave lithotripsy (ESWL) leading to residual calculi.
  • Partial nephrectomy was considered for patients with complex renal lithiasis, including those with previous stone surgeries or positive urine cultures.

Purpose:

  • To analyze the outcomes of partial nephrectomy in patients with renal lithiasis between 1980 and 1999.
  • To evaluate the efficacy and long-term renal function following partial nephrectomy for kidney stones.

Summary:

  • A series of 28 patients (22 female, 6 male) underwent partial nephrectomy for renal lithiasis.
  • Histopathological findings revealed chronic parenchymal atrophy in 25 cases. Postoperative complications occurred in 8 patients, including renal cutaneous fistulas and subphrenic abscess.

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  • Mean follow-up of 9.5 years showed normal renal function in 25 patients, with recurrence in 7 cases (contralateral or same unit).

    • Impact:

    • Partial nephrectomy remains a valuable therapeutic option for renal lithiasis.
    • Indication for partial nephrectomy should be based on the morphological and functional status of the compromised renal unit.
    • This approach is particularly relevant when renal preservation offers limited functional benefit.