Calman K C, Bell P R, Briggs J D, Hamilton D N, MacPherson S G, Paton A M
Br J Surg. 1976 Jul;63(7):512-6. doi: 10.1002/bjs.1800630704.
Bilateral nephrectomy was performed in 53 patients on regular haemodialysis. The indications were pyelonephritis in 30, polycystic kidneys in 6, glomerulnephritis in 7, uncontrollable hypertension in 9 and horseshoe kidney in 1. In 87 per cent of cases the operation was carried out as a separate procedure prior to transplantation. The mortality was 9 per cent and the postoperative complications included hypotension, clotting of arteriovenous shunts, pneumonia and subphrenic abscess. As a result of our experience we have revised our indications for bilateral nephrectomy which now are pyelonephritis only when associated with persistent bacteriuria or ureteric reflux, polycystic kidneys and uncontrollable hypertension.
对53例接受定期血液透析的患者实施了双侧肾切除术。手术指征为：肾盂肾炎30例，多囊肾6例，肾小球肾炎7例，无法控制的高血压9例，马蹄肾1例。87%的病例在移植前作为单独手术进行了双侧肾切除术。死亡率为9%，术后并发症包括低血压、动静脉分流血栓形成、肺炎和膈下脓肿。根据我们的经验，我们修订了双侧肾切除术的指征，现在仅在伴有持续性菌尿或输尿管反流时的肾盂肾炎、多囊肾和无法控制的高血压时才进行手术。
