title: Nephrolithotomy in chronic renal failure: saved from dialysis!
abstract: In patients with severely decreased renal function due to stone disease, dialysis has been suggested as an alternative to surgery. We reviewed 19 patients with creatinine clearances of 20 ml/min or less in whom nephrolithotomy was undertaken. Mean clearances increased significantly from 12.9 to 25.4 ml/min (P less than 0.01). No patient required long-term dialysis. Points in technique that contribute to this improvement in function are discussed.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000601:surgery*; D007669:Kidney Calculi / Q000150:complications / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged