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Published on: June 23, 2015
Surgical Management of Autosomal Dominant Polycystic Kidney Disease: Principles and Current Practice
1Sheffield Kidney Institute, Sheffield Teaching Hospitals NHS Trust, Sheffield, United Kingdom.
Insights
Autosomal dominant polycystic kidney disease (ADPKD) is a leading cause of kidney failure. This review covers surgical management principles for ADPKD complications, including nephrectomy and transplantation.
Area of Science:
- Nephrology
- Surgical Management
- Renal Failure
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is the third most common cause of end-stage renal disease.
- Currently, no definitive treatments exist to halt cyst development and growth in ADPKD.
- Medical treatments aim to slow cyst progression and preserve kidney function.
Conclusions:
- Surgical management is a critical component in addressing complications of ADPKD.
- Nephrectomy and transplantation are essential for improving outcomes in advanced ADPKD.
- Further research into targeted therapies alongside surgical options is warranted.
Abstract:
Autosomal dominant polycystic kidney disease is the third most common cause of renal failure with no definitive treatment available that can directly target the development and growth of the cysts. Endeavours are being made to retard the growth of the cysts and preservation of renal function through medical treatment. However, 50% of the autosomal dominant polycystic kidney disease-affected persons develop complications and end-stage renal disease by the age of fifty-five and need surgical intervention for the management of complications, creation of dialysis access and renal transplantation. This review highlights the principles and current practice pertinent to the surgical management of autosomal dominant polycystic kidney disease.
Keywords:
polycystic kidney disease; nephrectomy; transplantation.
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