ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS

Abstract

Purpose. To evaluate the eff ec‡ veness of intraopera‡ ve ultrasonography (IOUS) in the surgical treatment of kidney tumors. Pa7 ents and methods. Possibili‡ es of IOUS applica‡ on in the surgical treatment of kidney tumor according to the results of examina‡ on and surgical treatment of 145 pa‡ ents (95 men and 50 women) diagnosed with kidney cancer were evaluated. The pa‡ ents were divided into 2 groups: group 1 (comparisons) — 76 pa‡ ents; during the examina‡ on and treatment, the IOUS method was not used, group 2 (basic) — 69 pa‡ ents, who during the surgical treatment used the IOUS method to further clarify the localiza‡ on, the size and boundaries of the tumor forma‡ on. Results. The use of IOUS helped to reduce the frequency of nephrectomy (11.9% in the comparison group and 8.7% in the main group), and reduce the frequency of intraopera‡ ve complica‡ ons, which amounted to (8.7% against 13.2%). The frequency of damage to the spleen and the transi‡ on to open surgery did not diff er. The use of IOUS allowed to characterize in detail the anatomical features of the tumor, its vasculariza‡ on and to implement the RENAL prognosis: favorable — in 50.7% of pa‡ ents, unfavorable — in 15.9%. Conclusion.When performing kidney tumor surgery, it is recommended to perform IOUS of the aff ected kidney in order to further clarify the boundaries of the tumor lesion to improve the eff ec‡ veness of the opera‡ on.