Cold infusion for salvage partial hilar nephrectomy in patient with bilateral wilms tumor.

Abstract

We describe the use of an ice-cold solution of Ringer's lactate with additives to ameliorate ischemia-reperfusion injury and avoid renal failure in a child with bilateral Wilms tumor requiring nonanatomic, hilar resection that would leave the patient with marginal renal parenchyma postoperatively. The adequate renal function afforded by the procedure avoided the possible need for dialysis and allowed the resection area to be irradiated to prevent tumor recurrence before eventual renal transplantation.

• Authors: Anthony R Hogan, Christopher J Low, Gaetano Ciancio, George W Burke 3rd, Joanna A Davis, Juan E Sola
• Journal: Urology (Urology) Vol. 73 Issue 5 Pg. 1021-3 (May 2009) ISSN: 1527-9995 [Electronic] United States
• PMID: 19193414 (Publication Type: Case Reports, Journal Article)

Chemical References

• Sodium Lactate

Topics

• Child
• Combined Modality Therapy
• Cryotherapy (methods)
• Female
• Follow-Up Studies
• Humans
• Infusions, Intravenous
• Kidney Function Tests
• Kidney Neoplasms (diagnostic imaging, surgery)
• Neoplasm Recurrence, Local (pathology, therapy)
• Nephrectomy (methods)
• Renal Insufficiency (prevention & control)
• Reoperation (methods)
• Reperfusion Injury (prevention & control)
• Risk Assessment
• Salvage Therapy (methods)
• Sodium Lactate (therapeutic use)
• Tomography, X-Ray Computed
• Treatment Outcome
• Wilms Tumor (diagnostic imaging, surgery)