The subject of this book is salvage of kidney function in patients with various surgically correctable disorders affecting one or both kidneys. Preoperative work-up, and surgical and postoperative management are described in detail. The focus is on methods of bench surgery and subsequent autotransplantation of the kidney(s) along with the applicability and excellent results of these procedures. The various techniques are well illustrated by drawings and X-rays. Physicians of the various disciplines will learn that renal autotransplantation might be considered in patients suffering from…mehr
The subject of this book is salvage of kidney function in patients with various surgically correctable disorders affecting one or both kidneys. Preoperative work-up, and surgical and postoperative management are described in detail. The focus is on methods of bench surgery and subsequent autotransplantation of the kidney(s) along with the applicability and excellent results of these procedures. The various techniques are well illustrated by drawings and X-rays. Physicians of the various disciplines will learn that renal autotransplantation might be considered in patients suffering from renovascular hypertension, renal cancer, and complicated urinary calculous disease, or other complex renal/ureteral disorders: for example, extracorporeal surgery and autotransplantation offers optimal conditions for renovascular reconstruction. The technique provides excellent long-term results in the treatment of recurrent nephrolithiasis and ureteral lesions, and represents a valid alternative to nephrectomy and dialysis treatment in patients with renal carcinoma.
The authors, almost all of them are transplant surgeons at one of Europe's larger centers for organ transplantation, Rikshospital in Oslo, give detailed informations out of their daily work. 100 instructive figures and schemes illustrate the described surgery techniques. A renal bench surgery and autotransplantation theory.
Inhaltsangabe
1 Effects of Renovascular Disease and Autotransplantation on Blood Pressure and Renal Function.- 1.1 Renovascular Disease.- 1.2 Effects of Renal Autotransplantation on Overall Renal Function.- References.- 2 Radiological Investigation and Interventional Procedures in Patients with Renal Artery Disease.- 2.1 Introduction.- 2.2 Screening Methods.- 2.3 Preoperative Investigation.- 2.4 Postoperative Investigations.- 2.5 Percutaneous Transluminal Renal Angioplasty.- 2.6 Conclusions.- References.- 3 Renal Radionuclide Studies.- 3.1 Introduction.- 3.2 Basic Principles for Quantitative Evaluation.- 3.3 Clinical Procedures: Methodology.- 3.4 Selected Procedures in Preoperative Work-up.- 3.5 Autotransplant Follow-up.- References.- 4 Nephrectomy and Extracorporeal Renal Preservation: Technical Details.- 4.1 Preoperative Evaluation and Preparation.- 4.2 Anatomical Considerations.- 4.3 Nephrectomy: Technical Details.- 4.4 Extracorporeal Renal Preservation.- References.- 5 Renal Autotransplantation: Indications, Basic Surgical Techniques, and Complications.- 5.1 Introduction and Historical Background.- 5.2 Indications.- 5.3 Basic Surgical Techniques.- 5.3.2 Kidney Replantation.- 5.4. Complications.- References.- 6 Renal Artery Atherosclerosis.- 6.1 Introduction.- 6.2 Atherosclerotic Renal Artery Disease: The Natural Story.- 6.3 Management of Blood Pressure in Atherosclerotic RVH.- 6.4 Percutaneous Transluminal Renal Angioplasty vs Surgery.- 6.5 Surgical Management of Atherosclerotic Renal Artery Disease.- 6.6 Renal Autotransplantation in Atherosclerotic Renal Disease.- 6.7 Summary.- References.- 7 The Role of Bench Surgery in the Treatment of Renal Artery Stenoses and Aneurysms Caused by Fibromuscular Dysplasia.- 7.1 Introduction.- 7.2 Diagnosis.- 7.3 Indications for Surgery.- 7.4 Choice of Surgical Technique.- 7.5 Extracorporeal Renal Artery Reconstruction.- 7.6 Renal Reimplantation and Postoperative Control.- 7.7 Results.- 7.8 Conclusion.- References.- 8 Complicated Renal Calculous Disease Treated by Extracorporeal Surgery and Autotransplantation.- 8.1 Introduction.- 8.2 Indications for Extracorporeal Surgery.- 8.3 Preoperative Examination and Evaluation.- 8.4 Surgical Procedures.- 8.5 Postoperative Follow up.- 8.6 Results.- 8.7 Summary.- References.- 9 Ex Vivo Renal Resection and Autotransplantation for Renal and Urothelial Carcinoma.- 9.1 Introduction.- 9.2 Indications for Extracorporeal Surgery.- 9.3 Surgical Technique.- 9.4 Postoperative Follow-Up.- 9.5 Own Experience.- 9.6 Results.- 9.7 Discussion.- References.- 10 Simultaneous Aortic Reconstruction and Renal Autotransplantation.- 10.1 Introduction.- 10.2 Prevalence of Aortorenal Disease.- 10.3 Indications for a Combined Procedure.- 10.4 Preoperative Assessment.- 10.5 Surgery.- 10.6 Postoperative Care and Evaluation.- 10.7 Results.- 10.8 Summary.- References.- 11 Management of Ureteral Defects by Renal Autotransplantation.- 11.1 Introduction.- 11.2 Alternative Surgical Techniques.- 11.3 Own Experience.- 11.4 Results.- 11.5 Summary.- References.
