title: Recovery of renal function after right nephrectomy, cavectomy and left renal vein ligation.
abstract: Right nephrectomy and ligation of the left renal vein often lead to acute renal failure, but not obligatorily to renal infarction and chronic uremia, thanks to the peculiar venous supply of the left kidney. A man underwent right nephrectomy, inferior cavectomy and ligation of the left renal vein and became anuric. Hemodialysis was necessary for some days, but he partially recovered his renal function. Proteinuria occurred a few days after the operation and decreased but had not disappeared after ten months. Eventually the patient died of brain metastases. There are a few reports of similar operations, some successful, others not, but very few papers report an adequate follow-up of subsequent changes in renal function. Nephrologists could be involved in the postoperative care of these cases. They should be aware of the possible recovery of renal function and should try all possible strategies to help the left kidney recover its function.
authors.affiliation: Division of Nephrology, University and Spedali Civili Brescia, Italy. Giovanni.C.Cancarini@numerica.it
authors.forename: Giovanni C
authors.initials: GC
authors.lastname: Cancarini
authors.forename: Alessandra
authors.initials: A
authors.lastname: Pola
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pezzotti
authors.forename: Regina
authors.initials: R
authors.lastname: Tardanico
authors.forename: Alberto
authors.initials: A
authors.lastname: Cozzoli
authors.forename: Sergio Cosciani
authors.initials: SC
authors.lastname: Cunico
mesh_terms: D000208:Acute Disease; D001002:Anuria / Q000209:etiology* / Q000628:therapy; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D007668:Kidney / Q000502:physiology; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications; D020127:Recovery of Function; D012082:Renal Veins / Q000601:surgery*