Comparison of Non-Hilar Clamping Simple Enucleation and Enucleo-Resection of Exophytic Renal Tumors
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Urol & Nephrol Res Ctr-Unrc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: To retrospectively evaluate our institutional experience with non-hilar-clamping simple enucleation (SE) and enucleoresection (ER) for the treatment of exophytic renal tumors regarding their oncological outcomes. Materials and Methods: We retrospectively evaluated patients treated between 2006 and 2013 for clinical exophytic T1-T2a renal tumors using open nephron-sparing surgery. Results: A total of 33 patients underwent SE and 39 underwent ER. The mean tumor size was 38.7 mm. None of the patients had positive surgical margins. No local recurrences were observed during the postoperative follow-up period (mean 40.7 +/- 23.4 months); however, ipsilateral adrenal and contralateral kidney metastasis was detected in one of the patients. There was no statistically significant difference in the R.E.N.A.L Nephrometry Score, operative time, or intraoperative blood loss in the non-hilar-clamping SE and ER groups (P > .05). During the third postoperative month, the estimated glomerular filtration rate (eGFR) levels in the SE group were significantly reduced compared with the preoperative eGFR levels (P = .046). Conclusion: SE and ER with non-hilar clamping are safe, acceptable approaches for treating exophytic renal tumors.
Açıklama
Anahtar Kelimeler
Carcinoma, Renal Cell, Surgery, Follow-Up Studies, Kidney Neoplasms, Mortality, Nephrectomy, Adverse Effects, Organ Sparing Treatments, Methods, Glomerular Filtration Rate
Kaynak
Urology Journal
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
12
Sayı
6
