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Related Experiment Videos

Percutaneous nephrectomy in nonfunctioning kidneys: a preliminary report.

O Ikari1, Netto N Júnior, P C Palma

  • 1Division of Urology, University of Campinas Medical Center UNICAMP, Sao Paulo, Brazil.

The Journal of Urology
|October 1, 1990
PubMed
Summary

Percutaneous nephrectomy offers a minimally invasive surgical option for removing severely damaged, nonfunctioning kidneys. This technique uses specialized instruments for tissue removal, providing a viable alternative for select patients.

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Area of Science:

  • Nephrology
  • Urology
  • Minimally Invasive Surgery

Background:

  • Nephrectomy is indicated for nonfunctioning kidneys, but patient refusal due to perceived high morbidity is common.
  • Traditional nephrectomy carries risks; minimally invasive approaches are sought for kidney removal.
  • Endourological advancements inspired a novel technique for percutaneous nephrectomy.

Observation:

  • A patient presented with a nonfunctioning kidney due to ureteral obstruction and significant parenchymal loss.
  • Ultrasound confirmed severe decrease in renal parenchyma, indicating a nonviable kidney.
  • The patient was asymptomatic, highlighting the need for less invasive options.

Findings:

  • A percutaneous nephrectomy technique was successfully employed using biopsy and Lowsley forceps.

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  • Minimal bleeding was observed during the procedure.
  • A nephrostomy Foley catheter was placed for 72 hours post-procedure.

    • Implications:

    • Percutaneous nephrectomy is a potential surgical option for highly selected patients with nonfunctioning kidneys.
    • This technique may improve patient acceptance by offering a less invasive alternative.
    • Further development of instruments could enhance the applicability of percutaneous nephrectomy.