Journal article
Role of laparoscopic nephrectomy for refractory hypertension in poorly functioning kidneys
O Elhage, A Sahai, B Challacombe, D Murphy, J Scoble, P Dasgupta
Annals of the Royal College of Surgeons of England | ROYAL COLL SURGEONS ENGLAND | Published : 2011
Abstract
INTRODUCTION: Hypertension is a common medical problem mainly treated by effective antihypertensive drugs. Persistent hypertension can be difficult to manage and have detrimental effect on vital organs. Nephrectomy of poorly functioning kidneys may be indicated in a minority of such cases. PATIENTS AND METHODS: We performed laparoscopic nephrectomy on 12 patients with refractory hypertension. RESULTS Eight had complete response, three had partial response and one had no response. CONCLUSIONS: Laparoscopic nephrectomy has a role in carefully selected adult patients with refractory hypertension due to nonfunctioning kidney. Patients need to understand the surgical risks as well as the small ri..
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Awarded by Medical Research Council
Funding Acknowledgements
The authors thank Guy's and St Thomas' Charity and the Urology Foundation for financial support. Prokar Dasgupta acknowledges financial support from the Department of Health via the National Institute for Health Research (NIHR) comprehensive Biomedical Research Centre award to Guy's & St Thomas' NHS Foundation Trust in partnership with King's College London and King's College Hospital NHS Foundation Trust. He also acknowledges the support of the MRC Centre for Transplantation.