scholarly journals OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES

2021 ◽  
Vol 71 (1) ◽  
pp. 145-49
Author(s):  
Qamar Zia ◽  
Mudassar Sajjad ◽  
Muhammad Akmal ◽  
Faran Kiyani ◽  
Muhammad Nawaz ◽  
...  

Objective: To assess the safety and oncological outcomes of Open Partial Nephrectomy in management of small renal tumours. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Jan 2015 to Dec 2018. Methodology: We prospectively studied 61 patients with renal tumours either observed on computerized tomography (CT) scan or magnetic resonance imaging (MRI) having size ≤7cm and underwent open partial nephrectomy. The collected data included demographics, dimension of tumour, indication for surgery, cold ischemia time, hospital stay, complications and histopathological finding including involvement of margins. Patients were followed up for atleast 2 years. Results: Among 61, 39 patients were male and 22 females. The age of patients ranged from 20-72 years. Mean cold ischaemia time was 24.7 ± 6.37 minutes. Except for 2 patients with Von Hippel–Lindau (VHL) disease, all other patients had solitary renal growth. Nine (14.75%) patients had solitary kidney. The mean of maximum dimension of tumours was 3.84 ± 1.38 cm and mean hospital stay was 3.18 ± 2.19 days. Histopathological results showed 34 tumours to be conventional renal cell carcinoma (RCC) (55.73%) followed by 12 papillary renal cell carcinoma (19.67%). Two (3.27%) patients had positive surgical margin who were operated for >5 cm tumours and later managed expectantly. Twenty one patients had Grade I and II complications while 2 patients were stented post operatively for urine leak. At 2 years follow up there was no recurrence of tumour in any of the patient operated. Conclusion: Open ..........

2007 ◽  
Vol 100 (1) ◽  
pp. 219-219
Author(s):  
Sashi S. Kommu ◽  
Faiz H. Mumtaz ◽  
Abhay Rane ◽  
Rajendra A. Persad ◽  
Christopher G. Eden

2006 ◽  
Vol 7 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Brian Shuch ◽  
John S. Lam ◽  
Arie S. Belldegrun

2016 ◽  
Vol 142 (7) ◽  
pp. 1651-1657 ◽  
Author(s):  
Chunwoo Lee ◽  
Dalsan You ◽  
Sangjun Yoo ◽  
Cheryn Song ◽  
Bumsik Hong ◽  
...  

2006 ◽  
Vol 176 (5) ◽  
pp. 1984-1989 ◽  
Author(s):  
Sompol Permpongkosol ◽  
Herman S. Bagga ◽  
Frederico R. Romero ◽  
Myrna Sroka ◽  
Thomas W. Jarrett ◽  
...  

2021 ◽  
pp. 8-8
Author(s):  
Predrag Maric ◽  
Predrag Aleksic ◽  
Branko Kosevic ◽  
Mirko Jovanovic ◽  
Vladimir Bancevic ◽  
...  

Background/Aim. In renal cell carcinoma (RCC) the choice of surgical technique, radical (RN) or partial nephrectomy (PN) is still centre dependant because there still are no absolute recommendations for this approach. This study aims to analyze the oncological aspects, time until recurrent disease appears and cancer-specific survival in patients with RCC in T1bN0?0 depending on the type of surgical procedure partial or radical nephrectomy. Methods. A clinical observational study of a series of cases was conducted that analyzed data of 154 patients operated in our institution with a mean follow up a period not less than five years. The inclusion criteria included: renal tumours 4-7 cm, histopathological confirmation of RCC, absence of metastasis and normal serum creatinine. Exclusion criteria included: the presence of other malignancies, solitary functional kidney or comorbidities that can compromise renal function, bilateral tumours or unilateral multiple tumours. Results. The study analyzed data of 154 patients, 97 radical nephrectomies and 57 patients that underwent partial nephrectomy. Analyzing cancer-specific survival in four patients with RN there was a disease advancement that led to a lethal outcome, one PN patient died as a result of local relapse and distant metastasis. Conclusion. Based on our results PN is a good and safe treatment option for patients with RCC in T1b stadium. Partial nephrectomy offers a similar tumour control and better cancer-specific survival.


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