Laparoscopic partial nephrectomy for multiple tumours: feasibility and analysis of peri-operative outcomes.
BJU Int
; 108(8): 1330-4, 2011 Oct.
Article
en En
| MEDLINE
| ID: mdl-21199286
ABSTRACT
OBJECTIVE:
⢠To describe our experience with laparoscopic partial nephrectomy (LPN) for multiple kidney tumours and compare the outcomes with LPN performed for single masses. PATIENTS ANDMETHODS:
⢠Retrospective analysis of medical records of patients undergoing LPN at our institution between 2005 and 2009 was performed. ⢠The cohort was divided in two groups based on tumour focality group 1, LPN for a single tumour (n= 99) and group 2, LPN for multiple ipsilateral tumours (n= 12). ⢠The groups were compared with regards to demographic and peri-operative variables.RESULTS:
⢠Demographic variables were not different between the groups. Median dominant tumour size was 3.1 cm (interquartile range [IQR] 2.4-4.0) and 4.0 cm (2.3-5.9) in groups 1 and 2, respectively. ⢠Median secondary tumour size in group 2 was 1.0 cm (1.0-1.8). ⢠Operative times were longer in group 2 compared with group 1 (220 vs 160 min, P= 0.009). ⢠Warm ischaemia times (WIT) (23 vs 22 min) and estimated blood loss (EBL) (100 vs 85 mL) were similar.CONCLUSIONS:
⢠LPN is a viable option for the treatment of multiple ipsilateral renal tumours. ⢠Peri-operative outcomes are similar to standard LPN with the exception of longer operative time. ⢠In experienced hands, the advantages of minimally invasive surgery may be extended to select patients with ipsilateral multifocal renal tumours.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Carcinoma de Células Renales
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Laparoscopía
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Neoplasias Renales
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Nefrectomía
Tipo de estudio:
Evaluation_studies
/
Observational_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
BJU Int
Asunto de la revista:
UROLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Israel