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Feasibility and Outcomes of Partial Nephrectomy for Resection of at Least 20 Tumors in a Single Renal Unit

Fadahunsi, Amaka T ; Sanford, Thomas ; Linehan, W. Marston ; Pinto, Peter A ; Bratslavsky, Gennady

The Journal of Urology, 2011, Vol.185(1), pp.49-53 [Periódico revisado por pares]

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  • Título:
    Feasibility and Outcomes of Partial Nephrectomy for Resection of at Least 20 Tumors in a Single Renal Unit
  • Autor: Fadahunsi, Amaka T ; Sanford, Thomas ; Linehan, W. Marston ; Pinto, Peter A ; Bratslavsky, Gennady
  • Assuntos: Kidney ; Carcinoma ; Renal Cell ; Nephrectomy ; Complications ; Neoplasms ; Multiple Primary ; Medicine
  • É parte de: The Journal of Urology, 2011, Vol.185(1), pp.49-53
  • Descrição: Patients with hereditary renal cancer are at increased risk for recurrent bilateral multifocal tumors and may require aggressive nephron sparing surgery to prevent renal replacement therapy. We evaluated feasibility and outcomes in patients who underwent partial nephrectomy with removal of at least 20 tumors in a single renal unit at 1 setting. We retrospectively reviewed the records of 30 patients who underwent a total of 34 partial nephrectomies with removal of at least 20 tumors at our institution from 1993 to 2008. Operative reports and hospital records were reviewed for perioperative data, and renal functional and oncologic outcomes. We compared preoperative and postoperative renal function with the 2-tailed t test. There were no deaths and only 1 renal unit was lost. A median of 26.5 tumors was removed. Median estimated blood loss was 3,500 ml and median operative time was 9 hours. Perioperative complications developed in greater than...
  • Idioma: Inglês

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