Laparoscopic Radiofrequency Ablation Combined with Surgical Excision for Exophytic Renal Angiomyolipoma: A Novel Technique Based on Tumor Vasculature Features of Enhancing Renal Masses Toward Hilar Off-Clamping Nephron-Sparing Surgery

2017 ◽  
Vol 27 (8) ◽  
pp. 823-828
Author(s):  
Wei Xiong ◽  
Qing Ran ◽  
Yangchun Du ◽  
Ji Lv ◽  
Fang Chen ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Tumor Vasculature ◽  
Surgical Excision ◽  
Nephron Sparing Surgery ◽  
Renal Angiomyolipoma ◽  
Renal Masses ◽  
Novel Technique ◽  
Laparoscopic Radiofrequency Ablation ◽  
Nephron Sparing

Radiofrequency ablation (RFA) therapy for renal angiomyolipoma (AML): an alternative to angio-embolization and nephron-sparing surgery

2011 ◽  
Vol 109 (3) ◽  
pp. 384-387 ◽  
Author(s):  
Scott M. Castle ◽  
Vladislav Gorbatiy ◽  
Obi Ekwenna ◽  
Ezekiel Young ◽  
Raymond J. Leveillee
Keyword(s):  
Radiofrequency Ablation ◽  
Nephron Sparing Surgery ◽  
Renal Angiomyolipoma ◽  
Nephron Sparing

Functional and oncological outcomes of open nephron-sparing surgery for complex renal masses

2015 ◽  
Vol 33 (10) ◽  
pp. 427.e11-427.e16 ◽  
Author(s):  
Zaher Bahouth ◽  
Sarel Halachmi ◽  
Itamar Getzler ◽  
Orna Caspin ◽  
Boaz Moskovitz ◽  
...  
Keyword(s):  
Nephron Sparing Surgery ◽  
Renal Masses ◽  
Oncological Outcomes ◽  
Nephron Sparing

Renal function and oncologic outcomes in nephron sparing surgery for renal masses in solitary kidneys

2010 ◽  
Vol 29 (3) ◽  
pp. 343-348 ◽  
Author(s):  
Daniel J. Lee ◽  
Greg Hruby ◽  
Mitchell C. Benson ◽  
James M. McKiernan
Keyword(s):  
Renal Function ◽  
Nephron Sparing Surgery ◽  
Oncologic Outcomes ◽  
Renal Masses ◽  
Nephron Sparing

scholarly journals Nephron Sparing Surgery for Renal Angiomyolipoma with Inferior Vena Cava Thrombus in Tuberous Sclerosis

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Adrien Riviere ◽  
Thomas Bessede ◽  
Jean-Jacques Patard
Keyword(s):  
Inferior Vena Cava ◽  
Tuberous Sclerosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Nephron Sparing Surgery ◽  
Renal Angiomyolipoma ◽  
Nephron Sparing ◽  
Mean Size ◽  
The Mean

Introduction. Angiomyolipoma is a common benign renal tumor. It is associated with Tuberous Sclerosis Complex (TSC) in 20% of patients. Angiomyolipomas are classically multiple, bilateral, and growing; they may lead to complications such as Wunderlich syndrome or, in rare cases, to venous extension.Observation. a 74-year-old woman with TSC presented with an angiomyolipoma of the right kidney with inferior vena cava (IVC) fatty thrombus. She underwent partial nephrectomy and thrombectomy. After a 7-year follow-up there was no evidence of recurrence or metastasis and her renal function was preserved.Review of Literature. It is the 44th reported angiomyolipoma associated with IVC thrombus. The mean size of angiomyolipomas was 86.1 mm and 67.4% of patients were symptomatic. Pulmonary embolism was found in 6 patients. There were 2 cases of recurrence/metastatic outcome after radical nephrectomy and thrombectomy. They were associated with epithelioid form. The mean size of epithelioid tumors was significantly bigger than in classical angiomyolipomas (127.1 mm versus 82.6 mm,P=0.037). With a median follow-up of 12 months, 91.3% of patients were recurrence and metastasis free, with 3 cases of nephron sparing surgery.Conclusion. Nephron sparing surgery for angiomyolipoma with IVC fatty thrombus can be safely performed in TSC, even in sporadic angiomyolipoma.

Is radical nephrectomy a legitimate therapeutic option in patients with renal masses amenable to nephron-sparing surgery?

2014 ◽  
Vol 115 (3) ◽  
pp. 357-363 ◽  
Author(s):  
Jeffrey J. Tomaszewski ◽  
Marc C. Smaldone ◽  
Robert G. Uzzo ◽  
Alexander Kutikov
Keyword(s):  
Radical Nephrectomy ◽  
Therapeutic Option ◽  
Nephron Sparing Surgery ◽  
Renal Masses ◽  
Nephron Sparing

Elective open nephron-sparing surgery for renal masses: Single-center experience with 223 consecutive patients

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e16139-e16139
Author(s):  
F. Francesca ◽  
G. Pomara ◽  
G. Campo ◽  
P. Casale
Keyword(s):  
Postoperative Bleeding ◽  
Oncologic Outcome ◽  
Nephron Sparing Surgery ◽  
Consecutive Series ◽  
Renal Masses ◽  
Single Center Experience ◽  
Nephron Sparing ◽  
Urinary Fistulas

e16139 Background: To present our experience with elective, open, nephron-sparing surgery for renal masses in a contemporary, consecutive series. Methods: In this retrospective study, records of all patients who underwent elective nephron-sparing surgery (E-NSS) between March 1997 and December 2007 at our institution were reviewed. The preoperative workup included laboratory analysis, renal ultrasonography and abdominal computed tomography. The histological findings, complications, and oncologic outcome were studied. Results: A total of 231 E-NSS were performed in 223 patients (82 females,141males; mean age 64 years). 62 “hot ischemia” procedures and 169 “cold ischemia”. The mean tumor size was 4.6 cm (1.1–12cm). 52 patients presented renal masses > 4cm. Renal cell carcinoma was present in 177 patients (76.6%), benign renal masses were diagnosed in in 54 pazienti (23.3%): angiomyolipoma (35%), oncocytoma (40%), complicated cyst (25%). Worthy of note among these 54 patients, pre-operative diagnosis was present in 12 patients. Moreover, 17 benign lesions (31%) were > 4 cm. Complication rate was 5.3% (12 pts): splenectomy (2.2%), nephrectomy because of postoperative bleeding (0.8%), urinary fistulas (0.8%). After a median follow-up of 84 months (range 5 to 120), no patient had developed local recurrence, 19 (8.9%) died for other causes, 2 (0.9%) died for other tumor. Conclusions: The results of this contemporary, monocenter experience underline the role of open, elective, nephron-sparing surgery for patients with renal masses, confirming good results even for renal masses > 4cm. These conclusions are particularly important considering that benign histologic findings were present in almost one forth of patients. No significant financial relationships to disclose.

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