Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease
CONTEXT: Dominantly autosomal polycystic disease is characterized by multiple bilateral and non-functional cysts, which lead to progressive kidney failure. OBJECTIVE: Our objective was to report on a case of hand-assisted bilateral nephrectomy in a 28-year-old female patient with adult polycystic di...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802002000600007&lng=en&tlng=en |
| _version_ | 1818188980565311488 |
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| author | Marcello Alves Pinto Roberto Vaz Juliano Marcos Tobias-Machado Milton Borrelli Eric Roger Wroclawski |
| author_facet | Marcello Alves Pinto Roberto Vaz Juliano Marcos Tobias-Machado Milton Borrelli Eric Roger Wroclawski |
| author_sort | Marcello Alves Pinto |
| collection | DOAJ |
| description | CONTEXT: Dominantly autosomal polycystic disease is characterized by multiple bilateral and non-functional cysts, which lead to progressive kidney failure. OBJECTIVE: Our objective was to report on a case of hand-assisted bilateral nephrectomy in a 28-year-old female patient with adult polycystic disease and recurring pyelonephritis in a kidney transplant program. CASE REPORT: A hand-assisted bilateral nephrectomy was performed through a supra-umbilical median incision of approximately 6 cm, and with 3 ports of 10 mm. The length of the surgery was 3 hours and 15 minutes. The kidneys were removed after the aspiration of some cysts through the supra-umbilical incision. Pain control was achieved via the use of analgesics. The blood loss during surgery was 160 ml. During the postoperative period, the patient developed right-side pneumothorax, which was drained with no further occurrence. This drain was kept in place for 48 hours. The length of hospitalization was 4 days. |
| first_indexed | 2024-12-11T23:35:33Z |
| format | Article |
| id | doaj.art-0c29d532286f4ff7ba00f53a962448ce |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-11T23:35:33Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-0c29d532286f4ff7ba00f53a962448ce2022-12-22T00:45:53ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460120618919110.1590/S1516-31802002000600007S1516-31802002000600007Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney diseaseMarcello Alves Pinto0Roberto Vaz Juliano1Marcos Tobias-Machado2Milton Borrelli3Eric Roger Wroclawski4Fundação do ABCFundação do ABCFundação do ABCFundação do ABCFundação do ABCCONTEXT: Dominantly autosomal polycystic disease is characterized by multiple bilateral and non-functional cysts, which lead to progressive kidney failure. OBJECTIVE: Our objective was to report on a case of hand-assisted bilateral nephrectomy in a 28-year-old female patient with adult polycystic disease and recurring pyelonephritis in a kidney transplant program. CASE REPORT: A hand-assisted bilateral nephrectomy was performed through a supra-umbilical median incision of approximately 6 cm, and with 3 ports of 10 mm. The length of the surgery was 3 hours and 15 minutes. The kidneys were removed after the aspiration of some cysts through the supra-umbilical incision. Pain control was achieved via the use of analgesics. The blood loss during surgery was 160 ml. During the postoperative period, the patient developed right-side pneumothorax, which was drained with no further occurrence. This drain was kept in place for 48 hours. The length of hospitalization was 4 days.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802002000600007&lng=en&tlng=enNephrectomyLaparoscopyPolycystic Kidney Disease |
| spellingShingle | Marcello Alves Pinto Roberto Vaz Juliano Marcos Tobias-Machado Milton Borrelli Eric Roger Wroclawski Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease São Paulo Medical Journal Nephrectomy Laparoscopy Polycystic Kidney Disease |
| title | Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease |
| title_full | Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease |
| title_fullStr | Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease |
| title_full_unstemmed | Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease |
| title_short | Hand-assisted bilateral nephrectomy in a patient with adult polycystic kidney disease |
| title_sort | hand assisted bilateral nephrectomy in a patient with adult polycystic kidney disease |
| topic | Nephrectomy Laparoscopy Polycystic Kidney Disease |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802002000600007&lng=en&tlng=en |
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