Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors
Int. braz. j. urol
;
38(3): 356-361, May-June 2012. ilus, tab
Article
in English
| LILACS
| ID: lil-643034
ABSTRACT
OBJECTIVE:
Partial nephrectomy for small kidney tumors has increased in the last decades, and the approach to non-palpable endophytic tumors became a challenge, with larger chances of positive margins or complications. The aim of this study is to describe an alternative nephron-sparing approach for small endophytic kidney tumors through anatrophic nephrotomy. PATIENTS ANDMETHODS:
A retrospective analysis of patients undergoing partial nephrectomy at our institution was performed and the subjects with endophytic tumors treated with anatrophic nephrotomy were identified. Patient demographics, perioperative outcomes and oncological results were evaluated.RESULTS:
Among the partial nephrectomies performed for intraparenchymal tumors between 06/2006 and 06/2010, ten patients were submitted to anatrophic nephrotomy. The mean patient age was 42 yrs, and the mean tumor size was 2.3 cm. Mean warm ischemia time was 22.4 min and the histopathological analysis showed 80% of clear cell carcinomas. At a mean follow-up of 36 months, no significant creatinine changes or local or systemic recurrences were observed.CONCLUSION:
The operative technique described is a safe and effective nephron-sparing option for complete removal of endophytic renal tumors.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Carcinoma, Renal Cell
/
Organ Sparing Treatments
/
Kidney Neoplasms
/
Nephrectomy
/
Nephrons
Type of study:
Observational study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of Sao Paulo Medical School/BR
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