Results of kidney resection in patients with renal cell cancer with a high nephrometric index

Purpose: evaluation of the direct, functional and oncological results of kidney resections in patients with renal parenchyma tumors with a PADUA index of >8 and / or RENAL >7. Material and methods: The study included 122 patients who underwent partial nephrectomie for Renal cell cancer with a nephrometric index of PADUA >8 and/ or RENAL >7 (according to obligate indications - 65 (53.3%)). The median age is 57 (23-80) years, the ratio of men and women is 1.3:1. All patients were diagnosed with tumors of the renal parenchyma (bilateral - 43 (36.9%)). The median of the Charlson index is 5.0 (2-11 ). Before surgery, kidney disease (KD) of 3-4 stages was detected in 22 (18.0%)) patients. All patients underwent partial nephrectomie (with clamping of the renal vessels -120 (98.4%), median time of ischemia - 23.0 (6-78) min). In 113 (92.6%) patients, one was removed, in 9 (7.4%) - more than one tumor node. All patients with bilateral renal cancer from the contralateral side underwent radical nephrectomy...