2016年9月7日星期三

Operation Effect on Treating Polycystic Kidney Disease (PKD)

Surgical operations can relieve the pressure from large cysts on kidneys. But when the pressure from large cysts is reduced, small cysts can be in a more relax environment with less pressure, which make these small cysts grow rapidly, compressing renal parenchyma for another time. Besides, operation trauma is also a great damage to kidneys.

When single cyst is larger than 4cm, operation is usually considered. Patients who suffer from early and middle stage Polycystic Kidney Disease (PKD) can choose Cyst Decortication which can prevent remained healthy nephron from being damaged further and relieve renal ischemia condition. By this way, part nephron can be recovered, which delays the development of Polycystic Kidney Disease (PKD). But for patients suffering from end stage Polycystic Kidney Disease, this operation can play very little role. Therefore, if patients suffer from rapidly developing illness condition and obvious symptoms with reclined renal function and continuous High Blood Pressure, they should accept operation as early as possible. Bilateral operations should have duration of 3 to 6 months.

Advantages and disadvantages of Cyst Decortication to treat Polycystic Kidney Disease:

Advantages: Cyst Decortication can prevent remained healthy nephron from compressing and being damaged further, which can relieve the condition of renal ischemia, recover function of part nephron and delay illness development. It has the function of reducing blood pressure, relieving pain, improve renal function and living quality as well as delaying the process of Polycystic Kidney Disease (PKD) developing into End Stage Renal Failure.

Disadvantages: operation can eliminate some larger cysts effectively, but when larger cysts are removed, there will be more space left for smaller cysts, which can make smaller cysts grow more rapidly. With these smaller cysts growing, they will damage kidneys for another time. For this reason, the largest disadvantage of operation is that it can only treat the surface problems instead of treating the disease itself.

As for patients suffering from end stage Polycystic Kidney Disease, Cyst Decortication can play very limited role in treating this disease. Instead, this operation can worsen renal function damage further. Recent years, Laparoscopy Cyst Decortication is used to treat Polycystic Kidney Disease. But because the countless number and various size of these cysts as well as the limitation of minimal invasive surgery, this operation can not reduce pressure of all these cysts. For this reason, this treatment is not taken as routine treatment. It is only suitable to deal with some larger cysts of Polycystic Kidney Disease in order to improve part of renal function and relieve related symptoms.

In one word, operation can not treat Polycystic Kidney Disease from its primary cause which refers to Renal Fibrosis. This is also the reason why Haematuria and cysts relapse frequently. Micro-Chinese Medicine Osmotherapy which can block Renal Fibrosis is suggested to Polycystic Kidney Disease (PKD) patients.


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