Bilateral nephrectomy by the posterior approach.
The experience with 94 patients undergoing bilateral nephrectomy suggests that the posterior retroperitoneal approach has lower morbidity and mortality than transabdominal procedures. In addition, the lack of transgression of the peritoneal cavity facilitates the possible use of chronic peritoneal dialysis in the future management of these patients. The circumstances in which bilateral nephrectomy is indicated are reviewed.
D000293:Adolescent; D000328:Adult; D002648:Child; D003108:Colonic Diseases / Q000401:mortality; D006801:Humans; D007431:Intraoperative Complications; D016030:Kidney Transplantation; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D006435:Renal Dialysis; D013530:Surgical Wound Infection / Q000401:mortality