Результаты резекции почки у больных опухолями почечной паренхимы с высоким нефрометрическим индексом

Автор: Волкова М.И., Ридин В.А., Черняев В.А., Климов А.В., Фигурин К.М., Матвеев В.Б.

Журнал: Экспериментальная и клиническая урология @ecuro

Статья в выпуске: 3, 2019 года.

Бесплатный доступ

Цель исследования: оценка непосредственных, функциональных и онкологических результатов резекций почки у больных опухолями почечной паренхимы с индексом PADUA ≥8 и/или RENAL ≥7. Материал и методы: в исследование включено 122 больных, подвергнутых резекции почки по поводу опухолей почечной паренхимы с нефрометрическим индексом PADUA ≥8 и/или RENAL ≥7 (по облигатным показаниям - 65 (53,3%)). Медиана возраста - 57 (23-80) лет, соотношение мужчин и женщин - 1,3:1. У всех пациентов диагностированы опухоли почечной паренхимы (двухсторонние - 43 (36,9%)). Медиана индекса Чарльсона - 5,0 (2-11). До операции хроническая болезнь почек (ХБП) 3-4 стадий выявлена у 22 (18,0%)) больных. Всем 120 (98,4%) пациентам выполнили резекцию почки (с пережатием почечных сосудов, медиана времени ишемии - 23,0 (6-78) мин). У 113 (92,6%) пациентов удален один, у 9 (7,4%) - более одного опухолевого узла. Всем больным двухсторонним раком почек с контралатеральной стороны выполнена радикальная нефрэктомия...

Еще

Технически сложная резекция почки, индекс renal, индекс padua

Короткий адрес: https://sciup.org/142223164

IDR: 142223164 | DOI: 10.29188/2222-8543-2019-11-3-60-71

Список литературы Результаты резекции почки у больных опухолями почечной паренхимы с высоким нефрометрическим индексом

Kutikov A, Uzzo RG. The R.E.N.A.L. nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J Urol 2009; 182(3):844-53. DOI: 10.1016/j.juro.2009.05.035
Ficarra V, Novara G, Secco S, Macchi V, Porzionato A, De Caro R, et al. Preoperative aspects and dimensions used for an anatomical (PADUA) classification of renal tumours in patients who are candidates for nephron-sparing surgery. Eur Urol 2009;56(5):786-93. DOI: 10.1016/j.eururo.2009.07.040
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240(2):205-213. DOI: 10.1097/01.sla.0000133083.54934.ae
Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Inter Suppl 2013;3(1):1-150.
Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P; Acute Dialysis Quality Initiative workgroup. Acute renal failure-definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004;8(4):R204-R212. DOI: 10.1186/cc2872
Lane BR, Golan S, Eggener S. Tobert CM, Kahnoski RJ, Kutikov A, et al. Differential use of partial nephrectomy for intermediate and high complexity tumors may explain variability in reported utilization rates. J Urol 2013;189(6):2047-53.
DOI: 10.1016/j.juro.2013.01.007
Lieser G, Simmons MN. Developments in kidney tumor nephrometry. Postgrad Med 2011;123(3):35-42.
DOI: 10.3810/pgm.2011.05.2282
Minervini A, Vittori G, Antonelli A, Celia A, Crivellaro S, Dente D, Di Santo V, et al. Open versus robotic-assisted partial nephrectomy: a multicenter comparison study of perioperative results and complications. World J Urol 2014;32(1):287-93.
DOI: 10.1007/s00345-013-1136-x
Kim KT, Choo MS, Lee HE, Park YH, Song SH, Kim HH. Comparison of robot-assisted partial nephrectomy and open partial nephrectomy: clinical outcome and complication analysis. Eur Urol Suppl 2012;11(1):E32-E32a.
Oh JJ, Byun S, Hong SK, Jeong CW, Lee SE. Comparison of robotic and open partial nephrectomy: single-surgeon matched cohort study. Can Urol Assoc J 2014;8(7-8):E471-5.
DOI: 10.5489/cuaj.1679
Desantis D, Lavallée LT, Witiuk K, Ranjeeta Mallick R, Kamal F, Fergusson D, et al. The association between renal tumour scoring system components and complications of partial nephrectomy. Can Urol Assoc J 2015;9(1-2):39-45.
DOI: 10.5489/cuaj.2303
Tyritzis SI, Papadoukakis S, Katafigiotis I, Adamakis I, Anastasiou I, Stravodimos KG, et al. Implementation and external validation of Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) score for predicting complications in 74 consecutive partial nephrectomies. BJU Int 2012;109(12):1813-8.
DOI: 10.1111/j.1464-410X.2011.10644.x
Mottrie A, Schatteman P, De Wil P, De Troyer B, Novara G, Ficarra V. Validation of the preoperative aspects and dimensions used for an anatomical (PADUA) score in a robot-assisted partial nephrectomy series. World J Urol 2013;31(4):799-804.
DOI: 10.1007/s00345-010-0639-y
Erlich T, Abu-Ghanem Y, Ramon J, Mor Y, Rosenzweig B, Dotan Z. Postoperative urinary leakage following partial nephrectomy for renal mass: risk factors and a proposed algorithm for the diagnosis and management. Scand J Surg 2017;106(2):139-144.
DOI: 10.1177/1457496916659225
Gupta R, Tori M, Babitz SK, Tobert CM, Anema JG, Noyes SL, Lane BR. Comparison of RENAL, PADUA, CSA, and PAVP nephrometry scores in predicting functional outcomes after partial nephrectomy. Urology 2019;124:160-167.
DOI: 10.1016/j.urology.2018.03.055
Bylund JR, Gayheart D, Fleming T, Venkatesh R, Preston DM, Strup SE, et al. Association of tumor size, location, R.E.N.A.L., PADUA and centrality index score with perioperative outcomes and postoperative renal function. J Urol 2012;188(5):1684-9.
DOI: 10.1016/j.juro.2012.07.043
Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, et al. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007;11(2):R31.
DOI: 10.1186/cc5713
Rajan S, Babazade R, GovindaRajan SR, Pal R, You J, Mascha EJ, et al. Perioperative factors associated with acute kidney injury after partial nephrectomy. Br J Anaesth 2016; 116(1):70-76.
DOI: 10.1093/bja/aev416
Волкова М. И., Алборов С. В., Черняев В. А., Фигурин К. М., Панахов А. Д., Ридин В. А., и др. Функциональные результаты резекции единственной функционирующей почки при опухолях почечной паренхимы. Онкоурология 2017;13(3):46-53.
DOI: 10.17650/1726-9776-2017-13-3-46-53
Han KS, Song GH, You D, Song C, Jeong IG, Hong JH, et al. Comparison of hand-assisted laparoscopic versus robot-assisted laparoscopic versus open partial nephrectomy in patients with T1 renal masses. J Endourol 2017;31(4):374-379.
DOI: 10.1089/end.2014.0517
Becker F, Roos FC, Janssen M, Brenner W, Hampel C, Siemer S, et al. Short term functional and oncologic outcomes of nephron-sparing surgery for renal tumours > 7 cm. Eur Urol 2011;59(6): 931-7.
DOI: 10.1016/j.eururo.2011.02.017
Karellas ME, O'Brien MF, Jang TL, Bernstein M, Russo P Partial nephrectomy for selected renal cortical tumours of > 7 cm. BJU Int 2010;106(10):1484-7.
DOI: 10.1111/j.1464-410X.2010.09405x
Peycelon M, Hupertan V, Comperat E, Renard-Penna R, Vaessen C, Conort P, et al. Long-term outcomes after nephron sparing surgery for renal cell carcinoma larger than 4 cm. J Urol 2009;181(1):35-41.
DOI: 10.1016/j.juro.2008.09.025
Long CJ, Canter DJ, Kutikov A, Li T, Simhan J, Smaldone M, Teper E, et al. Partial nephrectomy for renal masses >7 cm: technical, oncological and functional outcomes. BJU Int 2012;109(10):1450-6.
DOI: 10.1111/j.1464-410X.2011.10608.x
Simmons MN, Hillyer SP, Lee BH, Fergany AF, Kaouk J, Campbell SC. Functional recovery after partial nephrectomy: effects of volume loss and ischemic injury. J Urol 2012;187(5):1667-73.
DOI: 10.1016/j.juro.2011.12.068
Johnston MC, Marks A, Crilly MA, Prescott GJ, Robertson LM, Black C. Charlson index scores from administrative data and case-note review compared favourably in a renal disease cohort. Eur J Public Health 2015;25(3):391-6.
DOI: 10.1093/eurpub/cku238
Mottrie A, Schatteman P, De Wil P, De Troyer B, Novara G, Ficarra V. Validation of the preoperative aspects and dimensions used for an anatomical (PADUA) score in a robot-assisted partial nephrectomy series. World J Urol 2013;31(4):799-804.
DOI: 10.1007/s00345-010-0639-y
Kopp RP, Mehrazin R, Palazzi KL, Liss MA, Jabaji R, Mirheydar HS, et al. Survival outcomes after radical and partial nephrectomy for clinical T2 renal tumours categorised by R.E.N.A.L. nephrometry score. BJU Int 2014 Nov;114(5):708-18.
DOI: 10.1111/bju.12580
Zhang Z, Zhao J, Dong W Acute ipsilateral renal dysfunction after partial nephrectomy in patients with a contralateral kidney: spectrum score to unmask ischemic injury. Eur Urol. 2016;70(4):692-698. 10.1016/j. eururo.2016.04.015
DOI: 10.1016/j.eururo.2016.04.015
Volpe A, Blute ML, Ficarra V Renal ischemia and function after partial nephrectomy: a collaborative review of the literature. Eur Urol 2015;68( 1):61 -74.
DOI: 10.1016/j.eururo.2015.01.025

Еще

Статья научная