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nephron-sparing surgery for small renal cell carcinoma

Journal of Nanjing Medical University 2009年第3期23卷 207-211页

作者： Yongsheng Li Shaoxing Zhu Weizhong Cai Shiping Chen Qiyong Li Department of Urology Affiliated Union Hospital of Fujian Medical University Fuzhou 350001 China

Objective：To investigate the method and effect of nephron-sparing surgery in the treatment of small renal cell carcinoma. Methods： From August 1 997 to October 2008, 48 cases of small renal cell carcinomas were confirmed by surgery and pathology, and reviewed retrospectively. Of the 48 cases, there was 1 patient with bilateral tumors, 8 with solitary kidney tumors, 1 with unilateral tumor and a damaged contralateral kidney, and 38 with unilateral tumors and a normal contralateral kidney; 9 underwent tumor enucleation and the remaining patients received partial nephrectomy. Results：There were no local tumor recurrences and/or tumor metastasis at a mean followup of 60 months. Conclusion： Confirming conclusions from other centers, we have found that nephron-sparing surgery is an effective treatment for small renal cell carcinomas.

关键词： small renal cell carcinoma nephron-sparing surgery kidney neoplasms

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Retroperitoneal laparoscopic nephron-sparing surgery for small renal tumor:report of 18 cases

Retroperitoneal laparoscopic nephron-sparing surgery for sma...

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第十五届全国泌尿外科学术会议

作者： WU Gang, YE Jin, GUO Jian-xin, BAI Wei, LIANG Ping, WANG Peng, ZHOU Bo, LI Qiansheng, JIN Feng-shuo Department of Urology, Daping Hospital, Third Military Medical University, Chongqing 400042 China.

Objective: nephron-sparing surgery has emerged as the treatment of choice for small renal mass, especially those less than 4 cm in size. We describe our technique and experience with the laparoscopic excision of these... 详细信息

关键词： Laparoscopy nephron-sparing surgery Renal neoplasms

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Three-dimensional imaging reconstruction of the kidney’s anatomy for a tailored minimally invasive partial nephrectomy:A pilot study

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Asian Journal of Urology 2022年第3期9卷 263-271页

作者： Daniele Amparore Angela Pecoraro Federico Piramide Paolo Verri Enrico Checcucci Sabrina De Cillis Alberto Piana Mariano Burgio Michele Di Dio Matteo Manfredi Cristian Fiori Francesco Porpiglia Department of Urology San Luigi Gonzaga HospitalUniversity of TurinOrbassanoTurinItaly European Association of Urology(EAU)Young Academic Urologists(YAU)Renal Cancer Working Group ArnhemNetherlands European Association of Urology(EAU)Young Academic Urologists(YAU)Uro-technology and SoMe Working Group ArnhemNetherlands Division of Urology Department of SurgerySS Annunziata HospitalCosenzaItaly

Objective:The aim of the study was to evaluate three-dimensional virtual models(3DVMs)usefulness in the intraoperative assistance of minimally-invasive partial nephrectomy in highly complex renal ***:At our institution cT1-2N0M0 all renal masses with Preoperative Aspects and Dimensions Used for an Anatomical classification score≥10 treated with minimally-invasive partial nephrectomy were considered for the present *** inclusion a baseline contrast-enhanced computed tomography in order to obtain 3DVMs,the baseline and postoperative serum creatinine as well as estimated glomerular filtration rate values were *** patients,in which 3DVMs were used to assist the surgeon in the planning and intraoperative guidance,were then compared with a control group of patients who underwent minimally-invasive partial nephrectomy with the same renal function assessments,but without *** logistic regression models were used to predict the margin,ischemia,and complication score ***:Overall,79 patients met the inclusion criteria and were compared with 143 complex renal masses without 3DVM *** 3DVM group showed better postoperative outcomes in terms of baseline-weighted differential estimated glomerular filtration rate(-17.7%vs.-22.2%,p=0.03),postoperative complications(16.5%vs.23.1%,p=0.03),and major complications(Clavien Dindo>III,2.5%vs.5.6%,p=0.03).At multivariable logistic regression 3DVM assistance independently predicted higher rates of successful partial nephrectomy(odds ratio:1.42,p=0.03).Conclusion:3DVMs represent a useful tool to plan a tailored surgical approach in case of surgically complex *** can be used in different ways,matching the surgeon's needs from the planning phase to the demolitive and reconstructive phase,leading towards maximum safety and efficacy outcomes.

关键词： Three-dimensional Kidney cancer Renal cell carcinoma Robotic Laparoscopic nephron-sparing surgery Complex renal mass

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Treatment options for localised renal cell carcinoma of the transplanted kidney

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World Journal of Transplantation 2020年第6期10卷 147-161页

作者： Gloria Motta Mariano Ferraresso Luca Lamperti Dhanai Di Paolo Nicholas Raison Marta Perego Evaldo Favi Urology IRCCS Policlinico San DonatoSan Donato Milanese 27288Italy Renal Transplantation Fondazione IRCCS Ca’Granda Ospedale Maggiore PoliclinicoMilan 20122Italy Department of Clinical Sciences and Community Health University of MilanMilan 20122Italy MRC Centre for Transplantation King’s College LondonLondon WC2R 2LSUnited Kingdom

Currently,there is no consensus among the transplant community about the treatment of renal cell carcinoma(RCC)of the transplanted *** recently,graftectomy was universally considered the golden standard,regardless of the characteristics of the *** to the encouraging results observed in native kidneys,conservative options such as nephron-sparing surgery(NSS)(enucleation and partial nephrectomy)and ablative therapy(radiofrequency ablation,cryoablation,microwave ablation,high-intensity focused ultrasound,and irreversible electroporation)have been progressively used in carefully selected recipients with early-stage allograft *** reports show excellent patient survival,optimal oncological outcome,and preserved renal function with acceptable complication ***,the rarity and the heterogeneity of the disease,the number of options available,and the lack of long-term follow-up data do not allow to adequately define treatment-specific advantages and *** role of active surveillance and immunosuppression management remain also *** order to offer a better insight into this difficult topic and to help clinicians choose the best therapy for their patients,we performed and extensive review of the *** focused on epidemiology,clinical presentation,diagnostic work up,staging strategies,tumour characteristics,treatment modalities,and follow-up *** research confirms that both NSS and focal ablation represent a valuable alternative to graftectomy for kidney transplant recipients with American Joint Committee on Cancer stage T1aN0M0 *** on T1bN0M0 lesions are scarce but suggest extra *** designed multi-centre prospective clinical trials are warranted.

关键词： Renal cell carcinoma Kidney transplant Graftectomy nephron-sparing surgery Focal ablation Review

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Strategy in diagnosis and treatment of bilateral renal cell carcinoma

Strategy in diagnosis and treatment of bilateral renal cell ...

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第十三届全国泌尿外科学术会议暨第八届全球华人泌尿外科学术会议

作者： GONG Daxin, LI Zeliang, WANG Xia Department of Urology, the First Affiliated Hospital of China Medical University, Shenyang, 110001,China.

Objectives To evaluate the diagnosis and treatment of bilateral renal cell carcinoma. Methods Clinical data of 22 patients with bilateral renal cell carcinoma were analyzed retrospectively. 15 patients were male and 7... 详细信息

关键词： bilateral renal cell carcinoma hereditary renal cell carcinoma nephron-sparing surgery

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