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Renal Function in Patients Undergoing Nephrectomies for Benign and Malignant Causes: An Expected Outcome

Open Journal of Urology 2022年第9期12卷 499-508页

作者： José Augusto da Silva Jr Bianca Soares Jorge Ocké Luiz J. Budib Marcos Dall’Oglio fabrício kaminagakura Urology Department of the Santa Marcelina Hospital S&#227 o Paulo Brazil

Objective: to assess the evolution of serum creatinine in patients undergoing radical nephrectomy (malignant) or total (benign), to identify risk factors connected with an unfavorable renal function outcome. Material and Methods: observational, transversal and retrospective study, through analysis of records and lab exams of 146 patients undergoing nephrectomy from January 2015 to December 2018. Results: Statistically significant difference was found between etiology and patients’ age (p-value Conclusion: This study shows that a large number of young patients undergo nephrectomy, many times avoidable;within a benign disease context with an increased risk of developing renal failure. Greater attention from the public service is required to tackle such chronic condition and its complications.

关键词： Nephrectomy Kidney Function Chronic Kidney Disease Health Plans and Programs

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Robot-Assisted Nephrotomy as a Nephron-Sparing Approach for Completely Intraparenchymal Renal Tumors

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Open Journal of Urology 2023年第10期13卷 459-467页

作者： Marcos Dall’Oglio Matheus Miranda Paiva fabrício Golono kaminagakura José Augusto Farias da Silva Júnior Jorge Ocké Urology Department of the Santa Marcelina Hospital S&#227o Paulo Brazil

Introduction: The diagnosis of small renal masses and the endophytic tumor approach have become challenging. This study aims to describe exclusively robot-assisted surgery as an alternative nephron-sparing approach for renal intraparenchymal tumors. Patients and Methods: We retrospectively analyzed all patients with completely endophytic tumors undergoing robot-assisted partial nephrectomy, treated under the Da Vinci System®, aided by intraoperative ultrasound. The patients’ demographic characteristics, perioperative and oncological outcomes were assessed. Results: From a total of 13 partial nephrectomies performed between 06/2010 and 10/2021, all patients underwent nephrotomy. The patients’ mean age was 52 years and the tumor measured mean 2.6 cm. Warm ischemia time was 24 minutes and histopathological analysis revealed that 12 patients had renal cell carcinoma. In a mean 36-month follow-up, no significant renal function alterations were found and no local or systemic recurrences occurred. Conclusion: Robot-assisted access is a safe and effective option for the nephron-sparing technique in completely intraparenchymal renal tumors.

关键词： Robotic Surgical Procedures Kidney Neoplasms Organ Sparing Treatment Nephrectomy Renal Mass

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