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Organo Oficial de la Sociedad Mexicana de Urología

2020, Number 3

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Rev Mex Urol 2020; 80 (3)

Robotic-assisted and laparoscopic partial nephrectomies in patients with renal tumor

Soto-Vázquez T, Almeida-Magaña R, Villeda-Sandoval CI

Language: Spanish
References: 32
Page: 1-9
PDF size: 157.35 Kb.


ABSTRACT

Background: Kidney cancer accounts for 2% of cancer deaths in Mexico. Partial nephrectomy has become the treatment of choice for renal tumors ‹4cm and can be carried out utilizing minimally invasive techniques.
Aim: To describe the perioperative, oncologic, and follow-up characteristics of patients that underwent partial laparoscopy with the robotic- assisted or laparoscopic approach at our hospital center.
Methods: A descriptive, retrospective cases series was conducted on patients that underwent minimally invasive partial nephrectomy at the Centro Médico Naval, within the time frame of February 2016 to February 2019.
Results: Sixteen patients had a BMI ›25 kg/m2, initial creatinine was 0.97mg/dl, surgery duration was 202 minutes, blood loss was 300 ml, and 13 patients underwent warm ischemia, for a median of 24 minutes. Hospital stay was 3 days, 2 patients presented with complications, and serum creatinine at day 30 was 1.05 mg/dl. The 17 patients that presented with cancer all had clear cell renal cell carcinoma. Thirteen of those patients had nuclear grade 2 and 3 had positive margins.
Conclusions: Our good short-term oncologic and functional results were similar to those reported in the international literature. Comparison with the national literature is difficult, given the lack of studies employing the robotic approach.


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