Resection of the Kidney.
—Garcia and Galvez1 point out that partial nephrectomy is indicated only in those cases in which the remaining portions of the kidney are in sufficiently good condition, both functionally and anatomically, to justify expectation of functional efficiency after this conservative operation. Such cases are relatively few since pathologic processes affecting the kidney usually involve the entire organ. Care must be taken also to ascertain that the blood supply is adequate and that the evacuation of the urine is normal; if these conditions are not fulfilled, operation should not be performed. If these conditions are fulfilled, then after removal of the cause of the lesions, perfect repair and cicatrization of the operative wound are possible, and function of the remaining portion of kidney will be all that can be desired.Until recently, partial nephrectomy was considered appropriate only in cases of solitary cyst of the
SCHOLL AJ, HINMAN F, von LICHTENBERG A, HEPLER AB, GUTIERREZ R, THOMPSON GJ, PRIESTLEY JT, WILDBOLZ E, O'CONOR VJ. REVIEW OF UROLOGIC SURGERY. Arch Surg. 1942;44(2):383-397. doi:10.1001/archsurg.1942.01210200199015