EXPERIENCE WITH EXTRACORPOREAL RENAL OPERATIONS AND AUTO-TRANSPLANTATION IN THE MANAGEMENT OF COMPLICATED UROLOGIC DISORDERS

  • 1 January 1981
    • journal article
    • research article
    • Vol. 153  (1) , 10-18
Abstract
Renal autotransplantation with or without an extracorporeal renal operation was performed 45 times in 43 patients. Patients (21) underwent renal autotransplantation as surgical treatment for renovascular hypertension; all are cured or have improved postoperatively. Renal autotransplants (16) were performed on 14 patients with extensive ureteral disease, 14 of which were successful. Six patients with carcinoma centrally located in a solitary kidney underwent extracorporeal partial nephrectomy and autotransplantation. Three of these patients are alive with functioning autografts and are tumor-free 1-5 yr postoperatively. Two patients with multiple recurrent renal calculi were successfully treated by extracorporeal pyelolithotomy and autotransplantation with pyelovesicostomy. An extracorporeal renal operation and autotransplantation can provide the best solution for selected urologic problems not correctable by conventional methods.