Open AccessComparative effectiveness analysis of the enucleation, enucleoresection and resection implementation in intrasinus non-formation of the kidney
Author(s) -
Endoscopic Spot,
G. A. Mashin,
L M Rapoport,
Д Г Цариченко,
A. D. Kudryavtsev
Publication year - 2018
Publication title -
andrologiâ i genitalʹnaâ hirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 1
eISSN - 2412-8902
pISSN - 2070-9781
DOI - 10.17650/2070-9781-2018-19-3-81-85
Subject(s) - enucleation , medicine , renal cell carcinoma , resection , surgery , ischemia , kidney , stage (stratigraphy) , oncology , paleontology , biology
The study objective is to perform comparative analysis of the effectiveness of enucleation, enucleoresection, and resection in renal sinus tumors. Materials and methods . Examination and treatment of 55 patients aged 28–74 years with intrasinous neoplasms of the kidneys of T1–T3 stage was carried out to perform a comparative analysis of the various operations effectiveness: 28 patients underwent organ-preserving operations (enucleation and enucleoresection), 27 – resection. Both groups were statistically comparable by sex, age, location, tumor volume. The most frequent histological variant of the tumor for any type of operation was clear-cell carcinoma (73 %). Results and conclusion. It is established that organ-preserving operations, unlike resection, involve a significantly shorter time of thermal ischemia, allowing the operation to be performed under conditions of zero-ischemia. This was accompanied by an improvement in treatment outcomes, a significant regression in the number of intraoperative and postoperative complications.