Malignant tumor resection in the solitary kidney: use of hypothermic hyperosmolar renal preservation method.
In 4 out of 8 patients with a malignant tumor in a single or in a solitary kidney, partial nephrectomy was performed under ischemic conditions. To avoid severe ischemic damage the kidneys have been flushed with a cold hyperosmolar intracellular-type electrolyte solution. In all cases excellent kidney function was obtained postoperatively and no tumor recurrence was observed 18 months to 5 years later.
D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D009926:Organ Preservation; D009994:Osmolar Concentration; D011859:Radiography