Anatrophic nephrolithotomy: preservation of renal function demonstrated by differential quantitative radionuclide renal scans

Differential quantitative radionuclide renal scans have been used to confirm that early removal of staghorn calculi by anatrophic nephrolithotomy preserves renal parenchyma without significant renal damage by the surgical procedure. The 99mtechnetium diethylenetriaminepentaacetic acid scan was usefu...

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Bibliographic Details
Published inThe Journal of urology Vol. 125; no. 6; p. 761
Main Authors Belis, J A, Morabito, R A, Kandzari, S J, Lai, J C, Gabriele, O F
Format Journal Article
LanguageEnglish
Published United States 01.06.1981
Subjects
Adolescent
Adult
Aged
Atrophy
Female
Follow-Up Studies
Humans
Iodohippuric Acid
Kidney - diagnostic imaging
Kidney - pathology
Kidney - physiopathology
Kidney Calculi - diagnostic imaging
Kidney Calculi - surgery
Male
Middle Aged
Pentetic Acid
Postoperative Complications
Prognosis
Radionuclide Imaging
Regional Blood Flow
Technetium
Technetium Tc 99m Pentetate
Time Factors
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Summary:Differential quantitative radionuclide renal scans have been used to confirm that early removal of staghorn calculi by anatrophic nephrolithotomy preserves renal parenchyma without significant renal damage by the surgical procedure. The 99mtechnetium diethylenetriaminepentaacetic acid scan was useful in predicting recovery of function in the involved kidney, while the 131iodine orthoiodohippurate scan provided a quantitative evaluation of the effect of the surgical procedure on individual kidney function. All of 13 consecutive patients evaluated by 131iodine orthoiodohippurate renal scans had stable or improved effective renal plasma flow to the involved kidney and an unchanged or improved total excretory index 6 months after nephrolithotomy.
ISSN:0022-5347
DOI:10.1016/S0022-5347(17)55197-6