Academic Journal
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors
| العنوان: | Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
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| المؤلفون: | Marcos F. Dall'Oglio, Lucas Ballarotti, Carlo C. Passerotti, Davi V. Paluello, Jose Roberto Colombo Junior, Alexandre Crippa, Miguel Srougi |
| المصدر: | International Brazilian Journal of Urology, Vol 38, Iss 3, Pp 356-361 (2012) |
| بيانات النشر: | Sociedade Brasileira de Urologia, 2012. |
| سنة النشر: | 2012 |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Kidney neoplasms, nephrons, Urologic Surgical Procedures, Outcome Assessment (Health Care), Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | OBJECTIVE: Partial nephrectomy for small kidney tumors has increased in the last decades, and the approach to non-palpable endophytic tumors became a challenge, with larger chances of positive margins or complications. The aim of this study is to describe an alternative nephron-sparing approach for small endophytic kidney tumors through anatrophic nephrotomy. PATIENTS AND METHODS: A retrospective analysis of patients undergoing partial nephrectomy at our institution was performed and the subjects with endophytic tumors treated with anatrophic nephrotomy were identified. Patient demographics, perioperative outcomes and oncological results were evaluated. RESULTS: Among the partial nephrectomies performed for intraparenchymal tumors between 06/2006 and 06/2010, ten patients were submitted to anatrophic nephrotomy. The mean patient age was 42 yrs, and the mean tumor size was 2.3 cm. Mean warm ischemia time was 22.4 min and the histopathological analysis showed 80% of clear cell carcinomas. At a mean follow-up of 36 months, no significant creatinine changes or local or systemic recurrences were observed. CONCLUSION: The operative technique described is a safe and effective nephron-sparing option for complete removal of endophytic renal tumors. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1677-5538 1677-6119 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000300008; https://doaj.org/toc/1677-5538; https://doaj.org/toc/1677-6119 |
| DOI: | 10.1590/S1677-55382012000300008 |
| URL الوصول: | https://doaj.org/article/144287d4a1864b3ab035e89f7892b059 |
| رقم الانضمام: | edsdoj.144287d4a1864b3ab035e89f7892b059 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 16775538 16776119 |
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| DOI: | 10.1590/S1677-55382012000300008 |