Sternum resection and nephrectomy together in renal carcinoma with solitary sternal metastasis

The role of surgery and adjuvant therapy in renal tumors with metastasis is considered purely palliative. However, in cases of solitary metastasis, an aggressive surgical approach is justified by results reported in current literature, in terms of survival rate and quality of life. In bone metastasis there are additional functional problems related to the site of the lesion and to the extend of the excision. In the reported case, the tumor became evident with a serious compressive cervical-mediastinal simptomatology, due to a solitary sternal metastasis, that was resected along with the primary renal tumor.

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Beautiful Eyes Guiding Powerful Hands - The Role of Intraoperative Imaging Techniques in the Surgical Management of Gliomas

European Neurological Review ◽

10.17925/enr.2011.06.03.208 ◽

2011 ◽

Vol 6 (3) ◽

pp. 208 ◽

Cited By ~ 6

Author(s):

Marco Riva ◽

Giuseppe Casacel i ◽

Antonel la Castellano ◽

Enrica Fava ◽

Andrea Falini ◽

...

Keyword(s):

Quality Of Life ◽

Survival Rate ◽

Surgical Management ◽

Imaging Techniques ◽

Intraoperative Imaging ◽

Subcortical Structures ◽

Image Guided ◽

Cerebral Gliomas

The aims of the surgical management of cerebral gliomas are to achieve the widest feasible resection and preserve the patient’s functional integrity. This results in an improved survival rate and a favourable quality of life. When treating this disease, current neuroradiological techniques are important for preoperative depiction and planning, and intraoperative image-guided resection, especially when the tumour involves eloquent cortical and subcortical structures. Knowledge of these techniques and their limitations, and appropriate expertise are therefore necessary to gain the complete benefit of their diagnostic and therapeutic power.

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Clinical outcomes and effect on intraoperative blood loss and postoperative pain of patients undergoing retroperitoneal laparoscopic partial nephrectomy for complex renal tumors

World Journal of Surgical Oncology ◽

10.1186/s12957-021-02397-x ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Yansong Guo ◽

Qian Xu ◽

Baochun Chen ◽

Lifeng Liu ◽

Yuanyuan Wang ◽

...

Keyword(s):

Quality Of Life ◽

Stress Response ◽

Postoperative Pain ◽

Blood Loss ◽

Partial Nephrectomy ◽

Renal Tumor ◽

Laparoscopic Partial Nephrectomy ◽

Renal Tumors ◽

Intraoperative Blood Loss

Abstract Objective To explore the clinical outcomes and effect on intraoperative blood loss and postoperative pain of patients undergoing the retroperitoneal laparoscopic partial nephrectomy (RLPN) for complex renal tumors. Methods Fifty patients with complex renal tumor admitted to our hospital from February 2017 to February 2019 were selected as the research object and divided into the RLPN group (given the retroperitoneal laparoscopic partial nephrectomy, n = 24) and the OPN group (given the open partial nephrectomy, n = 26) by number table method to compare their various perioperative indicators and serum stress response and analyze the clinical effect of different surgical methods on the complex renal tumor. Results The clinical information of patients in both groups were not significantly different (P > 0.05); in addition to the operative time, the intraoperative blood loss, hospital stay, warm ischemia time, and numerical rating scale (NRS) scores of the RLPN group were clearly lower than those of the OPN group (P < 0.05); after treatment, patients in the RLPN group obtained significantly lower white blood cell (WBC) count, cortisol, and c-reactive protein (CRP) levels than the OPN group (P < 0.05); the renal glomerular filtration rate (GFR) of the affected side, quality of life scores, and 3-year overall survival rate of treated patients in the RLPN group were obviously higher than those in the OPN group (P < 0.05); and patients in the RPLN group had significantly lower incidence rate (P < 0.05). Conclusion Compared with OPN, RLPN is more worthy of promotion and application, because it has better treatment outcomes, significantly reduces intraoperative blood loss, alleviates the body stress response and postoperative pain, and improves the quality of life.

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