Secure reconstruction technique after partial nephrectomy irrespective of tumor size and location
Int. braz. j. urol
;
35(4): 416-426, July-Aug. 2009. ilus, tab
Artigo
em Inglês
| LILACS
| ID: lil-527199
ABSTRACT
Introduction:
Nephron-sparing surgery for large renal masses is not considered a safe procedure because of high complication rate. We present our experience using expanded polytetrafluoroethylene (Gore-Tex®) and Hem-O-Lok® (Weck® Clip) as hemostatic agents during open partial nephrectomy (OPN) to perform nephron-sparing surgery for large renal masses. Materials andMethods:
Sixty patients underwent OPN for suspicious renal cell carcinomas. Thirty-four patients with tumors < 2.5 cm in size underwent OPN with Gore-Tex® alone (group 1). Clinical data from a computerized database were reviewed and compared to a contemporary group of 26 patients with tumors ≥ 2.5 cm in size who underwent OPN with Gore-Tex® and Hem-O-Lok® (group 2).Results:
The mean patient age was 53 years (range, 35-85 years), and the mean duration of follow-up was 41.8 months (range, 6-56 months). The mean cold ischemic times were 24.0 minutes (range, 12-37 minutes) and 35.3 minutes (range, 18-65 minutes) respectively in group 1 and 2. The tumor sizes in groups 1 and 2 were 1.7 ± 0.4 cm and 4.74 ± 2.75 cm, respectively. No major complications, such as urine leakage or delayed bleeding, were noted in either group.Conclusions:
Nephron-sparing surgery using Gore-Tex® alone or a Gore-Tex® and Hem-O-Lok® combination was safe without high-priced hemostatic agents because the tensile strength was sufficient to maintain firmness in the repaired parenchyma. In addition, the procedure is easy to perform and takes less time to complete. Furthermore, major complications, recurrence, and impaired renal function did not occur with this procedure.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Politetrafluoretileno
/
Carcinoma de Células Renais
/
Angiomiolipoma
/
Hemostasia Cirúrgica
/
Neoplasias Renais
/
Nefrectomia
Tipo de estudo:
Estudo observacional
Limite:
Idoso
/
Aged80
/
Humanos
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2009
Tipo de documento:
Artigo
País de afiliação:
Coréia do Sul
Instituição/País de afiliação:
Pochon CHA University/KR
Similares
MEDLINE
...
LILACS
LIS