Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Braz J Urol (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000300008 |
Resumo: | OBJECTIVE: Partial nephrectomy for small kidney tumors has increased in the last decades, and the approach to non-palpable endophytic tumors became a challenge, with larger chances of positive margins or complications. The aim of this study is to describe an alternative nephron-sparing approach for small endophytic kidney tumors through anatrophic nephrotomy. PATIENTS AND METHODS: A retrospective analysis of patients undergoing partial nephrectomy at our institution was performed and the subjects with endophytic tumors treated with anatrophic nephrotomy were identified. Patient demographics, perioperative outcomes and oncological results were evaluated. RESULTS: Among the partial nephrectomies performed for intraparenchymal tumors between 06/2006 and 06/2010, ten patients were submitted to anatrophic nephrotomy. The mean patient age was 42 yrs, and the mean tumor size was 2.3 cm. Mean warm ischemia time was 22.4 min and the histopathological analysis showed 80% of clear cell carcinomas. At a mean follow-up of 36 months, no significant creatinine changes or local or systemic recurrences were observed. CONCLUSION: The operative technique described is a safe and effective nephron-sparing option for complete removal of endophytic renal tumors. |
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Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumorsKidney neoplasmsnephronsUrologic Surgical ProceduresOutcome Assessment (Health Care)OBJECTIVE: Partial nephrectomy for small kidney tumors has increased in the last decades, and the approach to non-palpable endophytic tumors became a challenge, with larger chances of positive margins or complications. The aim of this study is to describe an alternative nephron-sparing approach for small endophytic kidney tumors through anatrophic nephrotomy. PATIENTS AND METHODS: A retrospective analysis of patients undergoing partial nephrectomy at our institution was performed and the subjects with endophytic tumors treated with anatrophic nephrotomy were identified. Patient demographics, perioperative outcomes and oncological results were evaluated. RESULTS: Among the partial nephrectomies performed for intraparenchymal tumors between 06/2006 and 06/2010, ten patients were submitted to anatrophic nephrotomy. The mean patient age was 42 yrs, and the mean tumor size was 2.3 cm. Mean warm ischemia time was 22.4 min and the histopathological analysis showed 80% of clear cell carcinomas. At a mean follow-up of 36 months, no significant creatinine changes or local or systemic recurrences were observed. CONCLUSION: The operative technique described is a safe and effective nephron-sparing option for complete removal of endophytic renal tumors.Sociedade Brasileira de Urologia2012-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000300008International braz j urol v.38 n.3 2012reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382012000300008info:eu-repo/semantics/openAccessDall'Oglio,Marcos F.Ballarotti,LucasPasserotti,Carlo C.Paluello,Davi V.Colombo Junior,Jose RobertoCrippa,AlexandreSrougi,Migueleng2012-07-20T00:00:00Zoai:scielo:S1677-55382012000300008Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2012-07-20T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false |
dc.title.none.fl_str_mv |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
title |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
spellingShingle |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors Dall'Oglio,Marcos F. Kidney neoplasms nephrons Urologic Surgical Procedures Outcome Assessment (Health Care) |
title_short |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
title_full |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
title_fullStr |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
title_full_unstemmed |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
title_sort |
Anatrophic nephrotomy as nephron-sparing approach for complete removal of intraparenchymal renal tumors |
author |
Dall'Oglio,Marcos F. |
author_facet |
Dall'Oglio,Marcos F. Ballarotti,Lucas Passerotti,Carlo C. Paluello,Davi V. Colombo Junior,Jose Roberto Crippa,Alexandre Srougi,Miguel |
author_role |
author |
author2 |
Ballarotti,Lucas Passerotti,Carlo C. Paluello,Davi V. Colombo Junior,Jose Roberto Crippa,Alexandre Srougi,Miguel |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Dall'Oglio,Marcos F. Ballarotti,Lucas Passerotti,Carlo C. Paluello,Davi V. Colombo Junior,Jose Roberto Crippa,Alexandre Srougi,Miguel |
dc.subject.por.fl_str_mv |
Kidney neoplasms nephrons Urologic Surgical Procedures Outcome Assessment (Health Care) |
topic |
Kidney neoplasms nephrons Urologic Surgical Procedures Outcome Assessment (Health Care) |
description |
OBJECTIVE: Partial nephrectomy for small kidney tumors has increased in the last decades, and the approach to non-palpable endophytic tumors became a challenge, with larger chances of positive margins or complications. The aim of this study is to describe an alternative nephron-sparing approach for small endophytic kidney tumors through anatrophic nephrotomy. PATIENTS AND METHODS: A retrospective analysis of patients undergoing partial nephrectomy at our institution was performed and the subjects with endophytic tumors treated with anatrophic nephrotomy were identified. Patient demographics, perioperative outcomes and oncological results were evaluated. RESULTS: Among the partial nephrectomies performed for intraparenchymal tumors between 06/2006 and 06/2010, ten patients were submitted to anatrophic nephrotomy. The mean patient age was 42 yrs, and the mean tumor size was 2.3 cm. Mean warm ischemia time was 22.4 min and the histopathological analysis showed 80% of clear cell carcinomas. At a mean follow-up of 36 months, no significant creatinine changes or local or systemic recurrences were observed. CONCLUSION: The operative technique described is a safe and effective nephron-sparing option for complete removal of endophytic renal tumors. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000300008 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382012000300008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1677-55382012000300008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
dc.source.none.fl_str_mv |
International braz j urol v.38 n.3 2012 reponame:International Braz J Urol (Online) instname:Sociedade Brasileira de Urologia (SBU) instacron:SBU |
instname_str |
Sociedade Brasileira de Urologia (SBU) |
instacron_str |
SBU |
institution |
SBU |
reponame_str |
International Braz J Urol (Online) |
collection |
International Braz J Urol (Online) |
repository.name.fl_str_mv |
International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU) |
repository.mail.fl_str_mv |
||brazjurol@brazjurol.com.br |
_version_ |
1750318072755912704 |