Evaluation of nephron sparing surgery for renal tumors:a single institution experience

作     者：Hytham Abd-elkareem Ahmed Abdelhamid Hussein Ezzat Ismael Mourad 

作者机构：National Cancer InstituteCairo UniversityEgypt 

出 版 物：《The Chinese-German Journal of Clinical Oncology》 (中德临床肿瘤学杂志（英文版）)

年 卷 期：2011年第10卷第9期

页      面：517-522页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：nephron sparing surgery(NSS) renal tumors evaluation 

摘      要：Objective:The aim of the study was to report the experience of National Cancer Institute(NCI),Cairo University,Egypt,in managing various benign and malignant renal tumors with nephron sparing surgery(NSS),and to assess its safety and ***:Reviewing the literature for NSS,and records of patients who underwent NSS in the period from January 2000 to December 2009 at National Cancer Institute,Cairo University regarding the patient and tumor related characteristics,the indication for NSS,operative technique,postoperative complications,full histopathological data,and follow up ***:The total number of patients was *** age at surgery was 30.7 years(range 1.5-65 years).Five patients had bilateral tumors during *** mean tumor size was 4.5 cm(range 1-9 cm).All patients had normal preoperative kidney *** patients had an absolute indication for NSS,6 patients had a relative indication,and 4 patients had an elective *** the 5 patients with bilateral tumors underwent bilateral simultaneous *** ischemia was used in 8 patients,1 patient was exposed to warm ischemia,manual compression was used in 2 patients,and no vascular control was applied in 6 *** were encountered in 2 patients,one of them had urinary leakage which needed reoperation,and the other had subcutaneous hematoma which was treated *** analysis revealed Wilm s tumor(8 patients),angiomyolipoma(4 patients),renal cell carcinoma(4 patients),and hydatid cyst(1 patient).All patients had negative surgical *** patients with Wilm s tumor,the mean follow up was 21.4 months(range 0-94 months),2 patients had local recurrence,and 1 patient had distant *** patients with RCC,the mean follow up was 15.3 months(5-33 months),no patients had local recurrence or distant *** patients had normal kidney functions during postoperative and follow up ***:NSS is a feasible safe procedure