Evaluating of efficacy of different types of ischemia in surgical treatment of kidney cancer in a single progression of chronic renal failure
DOI:
https://doi.org/10.11603/2414-4533.2017.2.7943Keywords:
cancer single kidney, kidney disease, ischemia.Abstract
The aim of the study - for the first time to assess the impact of various types of ischemia in surgical treatment of kidney cancer in a single progression of chronic kidney disease.
Materials and methods. It was a retrospective analysis of treatment of 68 patients who underwent resection of RCC on single kidneys. All patients were inpatient treatment in the plastic and reconstructive urology of National Cancer Institute, urological department of the Lviv Regional Hospital.
Results and discussion. After analyzing the survey results can be noted that the surgical treatment of kidney cancer, stage 2 CKD was located, 1patsiyent first group, second group 1 patients and 6 patients of the third group. Under stage 3a CKD was diagnosed in 5 patients of the first group, second group of 4 patients and 19 patients of the third group. CKD stage 3b, were observed in 4 patients of the first group, 3 patients of the second group and third group of 12 patients. On the fourth stage CKD to surgical treatment, there were 3 patients in the first group, 1 patient in the second group and 7 patients in the third group. Stage 5 CKD, was observed only in 2 patients of the third group. When analyzing the results of the study can be noted that three months after the surgery conducted CKD progression was observed in patients 3oh first group was 23, 1%. In 2oh second group of patients, which respectively accounted for 22, 2%. In the third study group three months after the surgery conducted CKD progression was observed in 5 patients, accounting for 10, 9% of cases.
References
Yesayan, A. N., Al–Shukri, S. H. & Mosoyan M. S. (2012). Pochechno-kletochnyi rak I khronicheskaya bolezn pochek: vnimaniye k neotdalyonnym neonkologicheskim iskhodam [Renal cell carcinoma and chronic kidney disease: attention to unsolved non-oncological outcomes]. Nefrolohyya– Nephrology, 4, (16), 94–99 [in Russian].
Mosoyan, M. S., Al-Shukri, S. H., Yesayan, A., Ylyn, D. M., & Korzo, S. V. (2013). [Resection of kidney ischemia in terms regionarnoj]. Vestnik natsyonalnoho medico-khirurgicheskoho tsentra imeni N. I. Pirohova – Bulletin of the N.I. Pirogov National Medical and Surgical Center, 2, (8), 43–48 [in Russian].
Pasyechnikov, S. P. (2013). “Urologyya” [“Urology”]. Vinnitsa: “New Book”, 335–342 [in Russian].
Pereverzev, A. (1997). Khirurgiya opukholey pochki I verkhnikh mochevykh putyei [Surgery of tumors of the kidney and upper urinary tract]. Kharkiv, 11 p. [in Russian].
Aboumarzouk, O. M. (2012). Robotic versus laparoscopic partial nephrectomy: A systematic review and meta–analysis. BJU International, 6, (62), 1023–1033.
Ahn, J. S., Kim, H. J., Jeon, H. G., Jeong, B. C., Seo, S. I., & Lee, H. M. (2013). Predictive preoperative factors for renal insufficiency in patients followed for more than 5 years after radical nephrectomy. Korean J Urol., 54, 303–310.
Bollee, G., Patey, N. & Cazajous, G. (2009). Thrombotic microangiopathy secondary to VEGF pathway inhibition by sanitinib. Nephrol Dial Transplant, 24, 682–685.
Evenski, A., Ramasunder, S., Fox, W., Mounasamy, V. & Temple, H. T. (2012). Treatment and survival of osseous renal cell carcinoma metastases. J Surg. Oncol., 106, 850–855.
Heuer, R., Gill, I. S., Guazzoni, G., Kirkali, Z., Marberger, M. & Richie, J. P. (2010). A critical analysis of the actual role of minimally invasive surgery and active surveillance for kidney cancer. European urology, 57, (2), 223–232. Epub. 2009/10/27.
Jeon, H. G., Choo, S. H., Sung, H. H., Jeong, B. C., Seo, S. I. & Jeon, S. S. (2014). Small tumour size is associated with new-onset chronic kidney disease after radical nephrectomy in patients with renal cell carcinoma. Eur. J Cancer, 50, 64–69.
Kim, S. H., Lee, S. E., Hong, S. K., Jeong, C. W., Park, Y. H. & Kim, Y. J. (2013). Incidence and risk factors of chronic kidney disease in Korean patients with t1a renal cell carcinoma before and after radical or partial nephrectomy. Jpn, J Clin, Oncol., 43, 1243–1248.
Lane, B. R., Campbell, S. C., Demirjian, S., Fergany, A. F. (2013). Surgically induced chronic kidney disease may be associated with a lower risk of progression and mortality than medical chronic kidney disease. J Urol., 189, 1649–1655.
Liatsicos, E., Kallidonis, P., Do, M, Dietel, A., Al–Aown, A., Constantinidis, C. (2011). Laparoscopic radical and partial nephrectomy: technical issues and outcome. World Journal of Urology, Epub. 2011/11/29.
Muzaale, A. D., Massie, A. B., Wang, M. C., Montgomery, R. A., McBride, M. A. & Wainright, J. L. (2014). Risk of end – stage renal disease following live kidney donation. JAMA, 311, 579–586.
Seung–Kwon, Choi & Cheryn, Song. (2014). Risk of chronic kidney disease after nephrectomy for renal cell carcinoma. Korean J Urol., 55, 636–642.
Stephen, K. D., Grant, D. Stewart & Alan, Mc Neil. (2014). Renal function after unilateral nephrectomy. Scottish Universities Medical Journal, 2, (3), 22–31.
Sun, M. (2013). Comparison of partial vs radical nephrectomy with regard to other – cause mortality in T1 renal cell carcinoma among patients aged ≥ 75 years with multiple comorbidities. BJU International, (111), 67–73.
Timsit, M. O., Nguyen, K. N., Rouach, Y., Elie, C., Loupy, A. & Fournier, C. (2010). Kidney function following nephrectomy: similitude and discrepancies between kidney cancer and living donation. Urologic oncology, 30, (4), 482–486. Epub. 2010/09/25.
Van Poppel, H., Da, Pozzo, Albrecht, W., Matveev, V., Bono, A. & Borkowski A. (2011). A prospective, randomized EORTC intergroup phase 3 study comparing the oncologic outcome of elective nephronsparing surgery and radical nephrectomy for low stage renal cell carcinoma. Europen urology, 59, (4), 543–552. Epub. 2010/12/28.
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