Ostropol'skaia E A, Osipov I B, Mirdzhanov K
Vestn Khir Im I I Grek. 1979 Dec;123(12):80-3.
For the recent 15 years 286 children with surgical diseases of double kidney have been under observation in the Clinic of Children Surgery of the Leningrad Pediatric Medical Institute. In 62 of them the inferior major segment of the organ was injured. In 34 cases the loss of the functional capacity of the inferior segment and atrophy of its parenchyma were revealed which served as an indication for inferior heminephrectomy. The vesicouriteral reflux into the main ureter (21 children) or both ureters (3 children) was found to be the most frequent cause of the injury of the inferior segment of the kidney. The subcapsular inferior heminephrectomy in children may be technically fulfilled and does not make problems in the separate blood supply of the segments. It is not expedient to leave a very small accessory segment of the kidney. The inferior heminephrectomy performed after strict indications gives favourable remote results.
在过去15年里，列宁格勒儿科医学研究所儿童外科诊所对286例患有双侧肾脏外科疾病的儿童进行了观察。其中62例患儿肾脏的下大段受到损伤。在34例病例中，发现下段功能丧失及其实质萎缩，这成为下行半肾切除术的指征。发现膀胱输尿管反流至主输尿管（21例患儿）或双侧输尿管（3例患儿）是肾脏下段损伤最常见的原因。儿童的包膜下肾下段切除术在技术上是可行的，并且在各段的单独血供方面没有问题。保留非常小的肾脏副段是不合适的。严格按照指征进行的肾下段切除术可获得良好的远期效果。
