ABSTRACT
Municipal multidisciplinary hospital No 2, Saint-Petersburg The article presents results of 9 extracorporal renal resections for carcinoma with the following autotransplantation. The mean duration of operation was 297.8 minutes and the mean period of hypothermic ischemia consisted of 112,6 minutes. A postoperative follow-up (max 4 years) revealed that there isn't noted any dissemination of the tumor and functional condition of the transplanted kidney was satisfactory. The extracorporal renal resection with the following autotransplantation could be performed according to absolute indication of organ saving and technical impossibility of renal resection in situ. In the case, when experienced surgeons carry out the operation, the existing risk of postoperative complications is low in spite of large volume and traumatic character of surgery in interdisciplinary approach.
Subject(s)
Carcinoma, Renal Cell , Kidney Neoplasms , Kidney Transplantation , Laparotomy/methods , Nephrectomy , Postoperative Hemorrhage , Carcinoma, Renal Cell/mortality , Carcinoma, Renal Cell/pathology , Carcinoma, Renal Cell/surgery , Female , Humans , Kidney/pathology , Kidney/surgery , Kidney Neoplasms/mortality , Kidney Neoplasms/pathology , Kidney Neoplasms/surgery , Kidney Transplantation/adverse effects , Kidney Transplantation/methods , Male , Middle Aged , Neoplasm Staging , Nephrectomy/adverse effects , Nephrectomy/methods , Operative Time , Organ Sparing Treatments/methods , Postoperative Hemorrhage/etiology , Postoperative Hemorrhage/surgery , Reoperation , Retrospective Studies , Russia , Survival Analysis , Tomography, Spiral Computed/methods , Transplantation, Autologous , Treatment OutcomeABSTRACT
The results of 11 extracorporeal partial nephrectomies for neoplasm with subsequent autologous transplantation of kidney are presented. In 4 patients, resection was performed ex vivo in the presence of a large centrally located tumor in a solitary kidney. Another two patients had bilateral tumor process. In 2 patients, a large, centrally located tumor in solitary kidney was the indication for extracorporeal resection. 3 patients had elective indications for the operation. Early postoperative complications occurred in 5 patients. 3 patients had oligoanuria. One patient developed postoperative bleeding; one patient developed obliteration of the upper third of ureter. Recurrence of renal cell cancer has not been identified; the functional state of the kidney vessels and vessels of upper urinary tract was regarded as satisfactory. Good results of these operations indicate the feasibility of expanding the indications for extracorporeal organ-sparing surgery.
Subject(s)
Carcinoma, Renal Cell/surgery , Kidney Neoplasms/surgery , Kidney Transplantation/methods , Nephrectomy/methods , Adult , Aged , Carcinoma, Renal Cell/diagnosis , Female , Humans , Kidney Neoplasms/diagnosis , Kidney Transplantation/adverse effects , Male , Middle Aged , Nephrectomy/adverse effects , Postoperative Complications/etiology , Transplantation, Autologous , Treatment OutcomeABSTRACT
The authors used a new method of treatment of prostatic cancer--selective stereotactic puncture cryodestruction of the anteriod hypophysis lobe--which prevents water-electrolyte imbalance, relieves pain syndrome due to bone metastases, reduces androgenic stimulation of the prostate, improves quality of life for patients of clinical group IV. The operation is low-traumatic and is not accompanied with serious complications.
