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Surgical Management of Kidney Diseases: Challenges and Opportunities
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Surgical Management of Kidney Diseases: Challenges and Opportunities

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 15 June 2024 | Viewed by 646

Special Issue Editor

Dr. Miguel Silva-Ramos

E-Mail Website
Guest Editor
Department of Urology, Centro Hospitalar Universitário do Porto, Porto, Portugal
Interests: kidney cancer; kidney transplantation; kidney and adrenal surgery; LUT pharmacology

Special Issue Information

Dear Colleagues,

Kidney surgery is an exiting field that has progressed considerably in the last few years. It is becoming more and more minimally invasive and with a special focus on nephron-sparing techniques. It is quite diverse and is becoming even more so. Kidney surgery encompasses a wide range of procedures, from endo-urological and endo-vascular techniques to robotics and kidney transplantation. New imaging tools also yield better anatomical definition of structures and enable safer and more precise surgical procedures. Kidney surgery has always been defiant, but these technical advances have brought novel challenges and also new opportunities for improvement.

In this Special Issue, we welcome authors to submit papers on the challenges and opportunities in the surgical management of kidney diseases.

Dr. Miguel Silva-Ramos
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • kidney diseases
  • kidney stones
  • kidney cancer
  • hydronephrosis
  • nephrectomy
  • kidney transplantation
  • robotics
  • endovascular
  • endoscopic surgical procedure
  • ureteroscopy
  • laparoscopy

Published Papers (1 paper)

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Research

8 pages, 234 KiB  
Article
Nephrectomy with Autotransplantation—A Key Treasure
by Sofia Mesquita, Miguel Marques-Monteiro, Mariana Madanelo, Maria Alexandra Rocha, Nuno Vinagre, Avelino Fraga, Vítor Cavadas, Rui Machado and Miguel Silva-Ramos
J. Clin. Med. 2024, 13(6), 1641; https://doi.org/10.3390/jcm13061641 - 13 Mar 2024
Viewed by 425
Abstract
Background: Nephrectomy with autotransplantation (NAT) has been performed as an alternative treatment for complex renovascular lesions, intricate ureteral strictures and nephron-sparing surgery in complex renal tumors. Methods: A retrospective observational study was conducted including patients who underwent a NAT from January 2010 [...] Read more.
Background: Nephrectomy with autotransplantation (NAT) has been performed as an alternative treatment for complex renovascular lesions, intricate ureteral strictures and nephron-sparing surgery in complex renal tumors. Methods: A retrospective observational study was conducted including patients who underwent a NAT from January 2010 to September 2023. Data collected included surgery indications, surgical technique, complications according to Clavien–Dindo classification and mean hospital stay. Descriptive and inferential statistical analysis was performed using IBM® SPSS® Statistics version 28.0.1.0. Results: A total of 34 consecutive patients underwent 38 NATs at our institution. Surgery indications were complex renovascular conditions in 35 cases (92.1%), of which 24 had renal artery aneurysms, and ureteral injuries in 3 cases (7.9%). Thirty-four kidneys (89.5%) were retrieved through a laparoscopic approach. No significant difference was observed between post- and pre-operative creatinine levels (0.81 vs. 0.72, p = 0.303). Early high-grade complications developed in 12 procedures (31.6%). Median cold ischemia time was significantly longer in patients who developed complications (163.0 vs. 115.0, p = 0.010). The median hospital stay was 10 days (8–13). The median follow-up was 51.5 months. Conclusions: NAT emerges as a successful therapeutic strategy for a highly select group of patients dealing with intricate ureteral lesions and kidney vascular abnormalities, demonstrating positive outcomes that endure in the long term. Full article
(This article belongs to the Special Issue Surgical Management of Kidney Diseases: Challenges and Opportunities)
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