1983 Volume 74 Issue 5 Pages 834-839
Twelve patients with extensive renal calculi, treated by kidney autotransplantation and ex vivo surgery, are presented. Five of these patients had calculi in the solitary kidney and other 3 patients recurrent calculi in repeatedly operated kidney.
Calculi were removed completely in these 12 patients. However, 3 patients who had a solitary kidney, had infection with urinary leakage in the implanted kidney. One of the 3 patients recovered with good renal function, and the other 2 died from sepsis, developed from the infection. In the other 9 patients, operated kidneys recovered their function.
Kidney autotransplantation and ex vivo surgery are thought to be a suitable technique for removing extensive calculi completely from the solitary kidney or reoperated kidney. However, this technique has some complications such as massive bleeding from the operated kidney and transit renal dysfunction in early postoperative period, which might be caused by intolerance to cold ischemic and the operative damage to the renal parenchyma. Therefore, the approach for removing renal calculi should be done without injury to renal parenchyma during ex vivo renal surgery. This technique should be indicated to only the selective cases.
