scholarly journals The Role of Nephron-Sparing Surgery (NSS) for Renal Tumours >4 cm

10.5772/26723 ◽  
2012 ◽  
Author(s):  
Amlie Parisel ◽  
Frederic Baekelandt ◽  
Hein Van ◽  
Steven Joniau
Keyword(s):  
Nephron Sparing Surgery ◽  
Renal Tumours ◽  
Nephron Sparing

scholarly journals Ex-vivo nephron-sparing surgery and autotransplantation for renal tumours: Revisited

2014 ◽  
Vol 8 (9-10) ◽  
pp. 728 ◽  
Author(s):  
George P Abraham ◽  
Avinash T Siddaiah ◽  
Krishnamohan Ramaswami ◽  
Datson George ◽  
Krishanu Das
Keyword(s):  
Operative Time ◽  
Ex Vivo ◽  
Laparoscopic Approach ◽  
Nephron Sparing Surgery ◽  
Study Patient ◽  
Renal Tumours ◽  
Nephron Sparing ◽  
Renal Autotransplantation ◽  
Patient Profiles

Introduction: We studied the feasibility of ex-vivo nephron-sparing surgery and autotransplantation for complex renal tumours. We also studied the role of laparoscopy in these situations.Methods: All patients who underwent renal autotransplantation for renal tumour at our centre were included in this retrospective study. Patient profiles were recorded in detail. Operative and postoperative details were also recorded.Results: Our series includes 3 patients. Two patients had complex renal cell carcinoma and 1 patient had bilateral large angiomyolipoma. In the first 2 patients, laparoscopic approach was used for nephrectomy. Operative time for case 1, 2 and 3 was 5.5, 4.5, 8 (right side) and 6 (left side) hours, respectively. Cold ischemia time was 110, 90, 150 and 125 minutes, respectively. One patient required temporary postoperative hemodialysis.Conclusion: Ex-vivo nephron-sparing surgery and autotransplantation still remain a viable option for complex renal tumours. It offers satisfactory renal functional outcome with acceptable morbidity. The laparoscopic approach should be used whenever possible to reduce morbidity.

349Elective nephron sparing surgery for renal tumours — Long-term outcome

2005 ◽  
Vol 4 (3) ◽  
pp. 90
Author(s):  
S. Pahemik ◽  
R. Gillitzer ◽  
C. Hampel ◽  
S. Melchior ◽  
J. Thuroff
Keyword(s):  
Nephron Sparing Surgery ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Renal Tumours ◽  
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.

87 Morbidity, functional and oncological outcomes after nephron sparing surgery for cT2 renal tumours

2013 ◽  
Vol 12 (1) ◽  
pp. e87-e88
Author(s):  
P. Bigot ◽  
J.F. Hetet ◽  
T. Fardoun ◽  
J. Rouffilange ◽  
E. Xylinas ◽  
...  
Keyword(s):  
Nephron Sparing Surgery ◽  
Oncological Outcomes ◽  
Renal Tumours ◽  
Nephron Sparing
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