FOR THE MEDICAL PRACTITIONER
Pediatric Surgery
doi: 10.25005/2074-0581-2025-27-1-192-201
LOWER POLE RESECTION OF THE KIDNEY IN CALCULUS HYDROCALYCOSIS AS A MESOPHYLAXIS FOR RECURRENT NEPHROLITHIASIS IN CHILDREN

B.KH. MIRZAKARIMOV, N.A. AKBAROV, K.Z. KADIROV, F.S. ABDURAKHMANOV

Department of Pediatric Surgery, Andijan State Medical Institute, Andijan, Republic of Uzbekistan

Objective: To enhance the outcomes of surgical treatment for bilateral nephrolithiasis in children.

Methods: We performed 64 open transverse-wedge lower pole resection of the kidney (LPRK), which we developed and introduced into practice on 28 patients on one side and 18 in stages on both sides.

Results: A study examined the stone location in the pelvicalyceal system (PCS) in children with bilateral and unilateral nephrolithiasis. Out of 496 kidneys analyzed, stones were found in the renal pelvis in 426 cases (85.8%). In addition, stones were located in the lower calyx in 322 cases (64.9%), with 172 (53.4%) being present in both kidneys and 150 (46.6%) located in one kidney. Furthermore, stones were identified in the middle calyx in 172 cases (34.7%) and the upper calyx in 154 cases (31%).

Conclusion: Transverse-wedge LPRK, an organ-preserving surgical approach for stones complicated by hydronephrosis, is the preferred method for treating nephrolithiasis in children. This technique aids in the prompt resolution of calculous pyelonephritis and helps prevent relapses of nephrolithiasis, which frequently necessitates repeated kidney surgeries that can lead to nephrectomy.

Keywords: Kidney, nephrolithiasis, hydronephrosis, resection, nephrectomy.

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Authors' information:

Mirzakarimov Bakhromzhon Khalimzhonovich,
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery, Andijan State Medical Institute
ORCID ID: 0000-0003-4597-2738
E-mail: Bahrommirzo73@gmail.com

Akbarov Nosirzhon Akbarovich,
Candidate of Medical Sciences, Associate Professor of the Department of Pediatric Surgery, Andijan State Medical Institute
ORCID ID: 0009-0008-7339-7914
E-mail: akbarovnosirjon1946@mail.ru

Kadirov Komilzhon Zakirdzhanovich,
Candidate of Medical Sciences, Associate Professor of the Department of Pediatric Surgery, Andijan State Medical Institute
ORCID ID: 0000-0002-7062-5458
E-mail: komiljonqadirov779@gmail.com

Abdurakhmanov Farrukh Saidazimovich,
Assistant of the Department of Pediatric Surgery, Andijan State Medical Institute
ORCID ID: 0000-0002-4623-1141
E-mail: Anonim_f@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Mirzakarimov Bakhromzhon Khalimzhonovich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery, Andijan State Medical Institute

170100, Republic of Uzbekistan, Andijan, Yu. Otabekova str., 1

Tel.: +998 (916) 061273

E-mail: Bahrommirzo73@gmail.com


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
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  2. PEDIATRIC UROLITHIASIS: PREDISPOSING FACTORS AND EARLY DIAGNOSIS IN OUTPATIENT SETTING
  3. TREATMENT OF PERISTOMAL COMPLICATIONS IN CHILDREN WITH EXTERNAL ARTIFICIAL SMALL INTESTINE FISTULAS
  4. THE ROLE OF ULTRASOUND AND VIDEOLAPAROSCOPY IN DIAGNOSIS AND TREATMENT OF ACUTE SURGICAL DISEASES OF THE ABDOMINAL CAVITY ORGANS IN CHILDREN

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