Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review
Autosomal-dominant polycystic kidney disease is a common kidney disease that affects all racial groups around the world, occupies one of the leading places in the structure of urological diseases and forms a significant contribution to the structure of all causes leading to the end stage of chronic...
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Format: | Article |
Language: | Russian |
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ZAO "Consilium Medicum"
2022-12-01
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Series: | Consilium Medicum |
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Online Access: | https://consilium.orscience.ru/2075-1753/article/viewFile/109509/pdf |
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author | Pavel A. Simonov Mikhail A. Firsov Vagan S. Arutunyan Dmitrii I. Laletin Ekaterina A. Alekseeva |
author_facet | Pavel A. Simonov Mikhail A. Firsov Vagan S. Arutunyan Dmitrii I. Laletin Ekaterina A. Alekseeva |
author_sort | Pavel A. Simonov |
collection | DOAJ |
description | Autosomal-dominant polycystic kidney disease is a common kidney disease that affects all racial groups around the world, occupies one of the leading places in the structure of urological diseases and forms a significant contribution to the structure of all causes leading to the end stage of chronic renal failure, disabling patients in this group and hence leading to the inevitability of renal replacement therapy. A highly effective clinical method for replacing lost kidney function is kidney transplantation. Based on the fact that the number of patients with this pathology is increasing, it is necessary to search for and introduce clear criteria for the best care, taking into account the high likelihood of developing infectious complications, hematuria, the absence or presence of diuresis, arterial hypertension in this category of patients. The article reflects the various methods of nephrectomy in patients suffering from autosomal dominant polycystic kidney disease, as well as how approaches to nephrectomy have evolved. The results of complications, as well as patient and graft survival in domestic and foreign studies, in which bilateral or ipsilateral nephrectomy was used using open or laparoscopic access before, during or after kidney transplantation, are demonstrated. Preference is rightfully given to minimally invasive methods of surgical treatment. Taking into account the already reduced resources of the organism of these patients, the volume and method of surgical treatment should be carefully chosen, taking into account safety, efficacy and risk minimization. |
first_indexed | 2024-04-11T12:27:19Z |
format | Article |
id | doaj.art-b57d19dc6d9a4397b42293ec02a9da29 |
institution | Directory Open Access Journal |
issn | 2075-1753 2542-2170 |
language | Russian |
last_indexed | 2024-04-11T12:27:19Z |
publishDate | 2022-12-01 |
publisher | ZAO "Consilium Medicum" |
record_format | Article |
series | Consilium Medicum |
spelling | doaj.art-b57d19dc6d9a4397b42293ec02a9da292022-12-22T04:23:55ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702022-12-01241074775210.26442/20751753.2022.10.2018294605Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A reviewPavel A. Simonov0https://orcid.org/0000-0002-9114-3052Mikhail A. Firsov1https://orcid.org/0000-0002-0887-0081Vagan S. Arutunyan2Dmitrii I. Laletin3https://orcid.org/0000-0002-1720-075XEkaterina A. Alekseeva4Regional Clinical HospitalRegional Clinical HospitalLoginov Moscow Clinical Scientific CenterRegional Clinical HospitalRegional Clinical HospitalAutosomal-dominant polycystic kidney disease is a common kidney disease that affects all racial groups around the world, occupies one of the leading places in the structure of urological diseases and forms a significant contribution to the structure of all causes leading to the end stage of chronic renal failure, disabling patients in this group and hence leading to the inevitability of renal replacement therapy. A highly effective clinical method for replacing lost kidney function is kidney transplantation. Based on the fact that the number of patients with this pathology is increasing, it is necessary to search for and introduce clear criteria for the best care, taking into account the high likelihood of developing infectious complications, hematuria, the absence or presence of diuresis, arterial hypertension in this category of patients. The article reflects the various methods of nephrectomy in patients suffering from autosomal dominant polycystic kidney disease, as well as how approaches to nephrectomy have evolved. The results of complications, as well as patient and graft survival in domestic and foreign studies, in which bilateral or ipsilateral nephrectomy was used using open or laparoscopic access before, during or after kidney transplantation, are demonstrated. Preference is rightfully given to minimally invasive methods of surgical treatment. Taking into account the already reduced resources of the organism of these patients, the volume and method of surgical treatment should be carefully chosen, taking into account safety, efficacy and risk minimization.https://consilium.orscience.ru/2075-1753/article/viewFile/109509/pdfautosomal-dominant polycystic kidney diseasebilateral nephrectomykidney transplantationlaparoscopic nephrectomy |
spellingShingle | Pavel A. Simonov Mikhail A. Firsov Vagan S. Arutunyan Dmitrii I. Laletin Ekaterina A. Alekseeva Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review Consilium Medicum autosomal-dominant polycystic kidney disease bilateral nephrectomy kidney transplantation laparoscopic nephrectomy |
title | Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review |
title_full | Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review |
title_fullStr | Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review |
title_full_unstemmed | Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review |
title_short | Options for approaches to nephrectomy in patients with end-stage chronic kidney disease caused by autosomal dominant polycystic kidney disease: A review |
title_sort | options for approaches to nephrectomy in patients with end stage chronic kidney disease caused by autosomal dominant polycystic kidney disease a review |
topic | autosomal-dominant polycystic kidney disease bilateral nephrectomy kidney transplantation laparoscopic nephrectomy |
url | https://consilium.orscience.ru/2075-1753/article/viewFile/109509/pdf |
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