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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Main Authors: Pavel A. Simonov, Mikhail A. Firsov, Vagan S. Arutunyan, Dmitrii I. Laletin, Ekaterina A. Alekseeva
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2022-12-01
Series:Consilium Medicum
Subjects:
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.
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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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