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Heminephrectomy in Adults: A Systematic Review with Cumulative Analysis
Keiran Clement1, Jane Hendry1, Francis X Keeley2
1Department of Urology, Glasgow Urological Research Unit, Queen Elizabeth University Hospital, Glasgow, United Kingdom.
Urologia Internationalis
|December 11, 2017
Summary
Heminephrectomy for duplex kidneys in adults is effective for symptom relief and safe when performed by experienced surgeons, despite limited evidence. This procedure offers a high success rate in resolving symptoms.
Area of Science:
- Urology
- Pediatric Surgery
- Nephrology
Background:
- Duplex collecting system is a common renal anomaly, often symptomatic in childhood.
- Heminephrectomy is a standard treatment for symptomatic duplex kidneys.
- Evidence for heminephrectomy in adult duplex kidneys is limited.
Purpose of the Study:
- To systematically review the literature on heminephrectomy for duplex kidneys in adults.
- To provide evidence-based guidance for treating adult patients with duplex kidneys.
Main Methods:
- Systematic literature search conducted in September 2017.
- Included seven retrospective studies with 66 adult patients.
- Data analyzed cumulatively.
Main Results:
- Laparoscopic approach was most common (56/66 patients).
- Symptom resolution reported in 96.4% of patients.
- Overall complication rate was 14.5% (9/62), with significant variation between studies.
Conclusions:
- Limited evidence exists for heminephrectomy in adult duplex kidneys.
- The procedure appears effective in symptom alleviation.
- Heminephrectomy is considered safe in experienced hands.
