[Surgical strategy for ectopic kidneys: analysis of 35 cases].

Objective To explore the surgical strategy for ectopic kidney and evaluate the clinical outcomes.Methods From January 2000 to October 2009,35 cases of ectopic kidney were treated surgically in our hospital.Definite diagnoses were established in all the cases by ultrasound,intravenous urography(IVU),cystoscope,CT,magnetic resonance urography(MRU) and radionuclide imaging before the surgery.In these patients,26 had ipsilateral ectopic ureteral orifice(including 5 with bilateral duplicated kidneys and ureter),9 had moderate or severe hydronephrosis(including 3 with ectopic kidney calculi),and 24 had dysplastic kidney(24/35).All the patients underwent operations,including 26 with ectopic nephrectomy,7 with ectopic ureterovesical reimplantation,and 3 with ectopic renal pelvis incision.Results The clinical effect was satisfactory in all the cases during the follow up of 7 to 29 months.Conclusion Appropriate surgical approaches according to the concurrent deformities and complications can achieve good clinical results in patients with ectopic kidneys.