دورية أكاديمية
Laparoscopic partial nephrectomy for multiple (four) tumors.
| العنوان: | Laparoscopic partial nephrectomy for multiple (four) tumors. |
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| المؤلفون: | Curcio L; Hospital Federal Ipanema, RJ, Brasil., Salama B; Hospital Federal Ipanema, RJ, Brasil., Pinto DL; Hospital Federal Ipanema, RJ, Brasil., Ahouagi AC; Hospital Federal Ipanema, RJ, Brasil. |
| المصدر: | International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2017 May-Jun; Vol. 43 (3), pp. 567. |
| نوع المنشور: | Case Reports; Journal Article; Video-Audio Media |
| اللغة: | English |
| بيانات الدورية: | Publisher: Brazilian Society of Urology Country of Publication: Brazil NLM ID: 101158091 Publication Model: Print Cited Medium: Internet ISSN: 1677-6119 (Electronic) Linking ISSN: 16775538 NLM ISO Abbreviation: Int Braz J Urol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio de Janerio, RJ, Brazil : Brazilian Society of Urology, [2002]- |
| مواضيع طبية MeSH: | Laparoscopy* , Nephrons* , Organ Sparing Treatments*, Carcinoma, Papillary/*surgery , Kidney Neoplasms/*surgery , Neoplasms, Multiple Primary/*surgery , Nephrectomy/*methods, Carcinoma, Papillary/diagnostic imaging ; Humans ; Ischemia ; Kidney/pathology ; Kidney Neoplasms/diagnostic imaging ; Male ; Middle Aged ; Neoplasms, Multiple Primary/diagnostic imaging |
| مستخلص: | Background: Nephron sparing surgery (NSS) is well established as the standard of care for most surgical small renal tumors when technically feasible. While the majority of sporadic renal tumors are solitary, multifocal tumors have been reported in 5.4% to 25% of patients with tumors smaller than 5cm. We present a video where we approach, through laparoscopy, four tumors on the same kidney. Case Study: Male, 58y, went through a routine abdominal ultrasound which showed a 5cm left kidney nodule. His MRI pointed a total of 4 nodules on his left kidney. The aspect suggested a papillary cancer due to high cellularity and low vascularization. The patient was submitted to partial nephrectomy under ischemia to remove the two largest tumors (in¬ferior pole) and a resection without clamping of the other two ipsilateral tumors. Result: We performed the surgery in 2 stages. In the first one, we approached the 2 tumors located on the inferior pole inducing warm ischemia, whereas in the second stage we resected the 2 remaining tumors using the technique without clamping. The surgery lasted 220 minutes, with 800mL of blood loss, not requiring blood transfusion. Ischemia time was 35 minutes. The histopathological analysis confirmed that the 4 tumors were papillary cancer, with free margins. Conclusion: NSS can be performed and should be tried in patients with multiple kidney tumors, preferably through lapa¬roscopy or assisted by robot. It can be made either using or not clamping of the pedicle, depending on the RENAL score. (Copyright® by the International Brazilian Journal of Urology.) |
| تواريخ الأحداث: | Date Created: 20161026 Date Completed: 20171004 Latest Revision: 20181023 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC5462153 |
| DOI: | 10.1590/S1677-5538.IBJU.2015.0648 |
| PMID: | 27778492 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1677-6119 |
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| DOI: | 10.1590/S1677-5538.IBJU.2015.0648 |