Abordaje laparoscópico para el tratamiento quirúrgico de los tumores renales y del tracto urinario superior

Q4 Medicine Revista mexicana de urologia Pub Date : 2016-09-01 DOI:10.1016/j.uromx.2016.06.002

J.A. Rivera-Ramírez, J.J. Cendejas-Gómez, B. Gabilondo-Pliego, F. Rodríguez-Covarrubias

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引用次数: 1

Abstract

Introduction

Laparoscopy is currently one of the options for the surgical treatment of kidney tumors and upper urinary tract tumors with oncologic results that are similar to those of open surgery.

Aim

To describe the experience in the laparoscopic treatment of kidney and upper urinary tract tumors at our hospital.

Materials and methods

A retrospective and descriptive study was conducted, analyzing the database of patients with kidney or upper urinary tract tumors treated through the laparoscopic procedures of nephrectomy (radical or partial) or nephroureterectomy within the time frame of August 2006 and June 2015. Radiologic and histopathologic variables were analyzed, along with the frequency of complications (Clavien-Dindo classification).

Results

Ninety-six patients were identified that underwent the laparoscopic approach. Fifty-eight radical nephrectomies, 24 partial nephrectomies, and 14 nephroureterectomies were performed. The conversion rate was 16.6% and the mean hospital stay was 5 days. Grade IIIa and IVa complications presented in 9.3% of the cases. The mean follow-up period was 31.2 months and only one patient has died, due to leukemia.

Conclusions

We consider the laparoscopic approach to be a good treatment option for kidney tumors and upper urinary tract tumors.

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腹腔镜手术治疗肾和上尿路肿瘤

引言腹腔镜是目前肾脏肿瘤和上尿路肿瘤的手术治疗选择之一，其肿瘤学结果与开放手术相似。目的介绍我院腹腔镜治疗肾及上尿路肿瘤的经验。材料和方法进行了一项回顾性和描述性研究，分析了2006年8月至2015年6月期间通过腹腔镜肾切除术（根治性或部分）或肾输尿管切除术治疗的肾或上尿路肿瘤患者的数据库。分析放射学和组织病理学变量，以及并发症的发生频率（Clavien-Dindo分类）。结果96例患者采用腹腔镜入路。共进行了58例根治性肾切除术、24例部分肾切除术和14例肾输尿管切除术。转化率为16.6%，平均住院时间为5天。9.3%的病例出现IIIa和IVa级并发症。平均随访期为31.2个月，只有一名患者死于白血病。结论腹腔镜入路是治疗肾肿瘤和上尿路肿瘤的良好方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.