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Extended and organ preserving operations for kidney carcinoma

, : Extended and organ preserving operations for kidney carcinoma. Urologiya i Nefrologiya (3): 30-34

Operations were conducted on 162 patients with malignant growths of the kidney during the last 7 yr. The peculiar features of the diagnosis, therapeutic tacts, operative techniques and the results of treatment were analyzed in 2 groups of patients: those with extension of the blastomatous process to tissues and organs accessible for vision within the limits of the operative wound, when an extended operation is indicated, and those with malignant new growth of the kidney when nephrectomy is contraindicated. Extended operations (32) and organ-preserving operations (14) were carried out. After extended operations (those combined with lymphadenectomy, thrombectomy from vena cava inferior, hemicolectomy, etc.), almost 1/3 (10) of the patients have a survival period of > 3 yr. After organ-preserving operations (resection of the kidney and enucleation of the tumoral nodes), 10 patients have no metastases, 6 of whom have a survial period of > 3 yr. Organ-preserving operations seem possible in patients in whom nephrectomy is contraindicated (in cases with an anatomical or functional solitary kidney or bilateral affection of the kidneys) and are also justified in an intact contralateral kidney if the tumor is localized in one of the segments, does not grow into the capsule, the renal hilus is not involved in the process (insstage T1M0N0 of the process) and the vascular architectonics allows such an operation.

Accession: 005432544

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Related references

Bischo, F., 1954: Organ-preserving kidney operations. Zeitschrift für Urologie Spec Issue: 201-223

Goriachëv, I.A.; Veliev, E.I., 1994: Hemostatic methods in organ-preserving operations on the kidney. Vestnik Khirurgii Imeni I. I. Grekova 152(3-4): 136-140

Pytel', I.A.; Aliaev, I.G., 1981: Extensive and organ-preserving operations for kidney cancer. Urologiia i Nefrologiia: 30-34

Berényi, P.; Pintér, J.; Szokoly, V., 1990: Intraoperative sonography in organ preserving operations of kidney tumors. The use of intraoperative ultrasonography in urology was exclusive in open stone surgery to search for residual stones. However, this procedure may applied successfully to renal cancer, if parenchyma-sparing resection or enucleation should perform...

Burykh M.P., 1988: Stereotomometry of the calyx pelvic complex of the kidney with reference to organ preserving operations. By means of injection into the hollow system of the semiharden plastic "Protacryl" and tomometry, 157 human kidneys have been studied at the age of 20-90 years (117 man and 40 women). Size, form, number and character of position of the c...

Chakalova, G.; Karag'ozov, A., 1991: Organ-preserving operations on patients with microinvasive carcinoma of the cervix uteri. Organ-preserving operative treatment was performed on 29 women with microinvasive operative microinvasive carcinoma of the uterine cervix at lal clinical stages. After conization of the uterine cervix the patients were observed actively by cytolog...

Volovich L.Y.; Gordeladze A.S., 1972: Morphological changes in the remaining segment of the kidney in organ preserving operations for tuberculosis according to the data of punch biopsy. Urologiya i Nefrologiya 37(6): 19-22

Seregin, A.V., 2002: Comparative evaluation of the quality of life in patients with kidney cancer after organ-preserving operations and radical nephrectomy. The study included 26 patients with renal carcinoma (RC) stage T1 which have undergone elective conservative surgery and 33 patients with the same disease after radical nephrectomy. To compare their postoperative quality of life, the patients fill...

Volovich, L.Ia.; Gordeladze, A.S., 1972: Morphological changes in the remaining segment of kidney in organ-preserving operations for tuberculosis (based on puncture biopsy data). Urologiia i Nefrologiia 37(6): 19-22

Sato, K.; Kato, T.; Mori, H.; Abe, R.; Moriyama, M.; Tamakawa, Y.; Kato, T., 1986: Adjuvant chemotherapeutic effects of microcapsules on organ-preserving operations for invasive bladder carcinoma. Nihon Hinyokika Gakkai Zasshi. Japanese Journal of Urology 77(3): 474-481