2017, Number 1
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RCU 2017; 6 (1)
Simple enucleation as kidney tumour treatment
García GA, Guerra RFB, García MI
Language: Spanish
References: 22
Page: 14-27
PDF size: 182.35 Kb.
ABSTRACT
Introduction: Simple enucleation constitutes the most modern and valid technique in incipient renal carcinoma phases, but in our country it is not apply very often.
Object: Define competence and assurance of simple enucleation in patients with renal tumor, stage T1-T2a.
Methods: Was realize an analytic, experimental, longitudinal and prospective study in the Urology service of "Hermanos Ameijeiras" hospital since January 2010 until June 2016. Piece was establish by 70 patients with renal tumors, stage T1 and T2a. Lumbar was the boarding line and indented control was realice with suture stitching. Was compute: Frequencies, percentages, average, standard deviation, survival at 1, 3 and 5 years.
Results: Elderly adults (70 %) and male sex (68.6 %) prevail in this series. High blood pressure was the most important familiar antecedent (18 %) and personal (52.9), alsofatness and smoking were the preponderant risks. Most of the patients were without symptoms. The most usual location of the renal cell carcinoma was renal poles and small masses predominated. Clear cells carcinoma was the most usual histologic pattern (70 %). Surgical time was around 102 minutes and postoperative was short (4.9 days). Complication tax was decline (17.1 %) any lethal. Free of progression survival and specifiercancer werehigh (97 % and 98.3 % respectively) at first, third and fifth year.
Conclusion: Simple enucleation proved to be a feasible, valid and safe surgical treatment alternative for patients in incipient stages of renal carcinoma.
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