Zero-ischemia nephron-sparing interventions for renal tumor. Do we need 3D-modeling?

Мамедкасимов Н. А., Спот Е. В., Аляев Ю. Г., Рапопорт Л. М., Сорокин Н. И.

Урология

Т. 2019, Вып. 1, С. 56-62

Опубликовано: 2019

Тип ресурса: Статья

DOI:10.18565/urology.2019.16.56-62

Аннотация:

Introduction: our aim was to assess and compare a zero ischemia enucleation and enucleoresection of tumor, as well as classical partial nephrectomy. In addition, we defined a role of a three-dimensional reconstruction of the tumor for the planning of intervention. Materials and methods: a total of 83 patients with localized renal tumors were included in the study. There were 48 men (57.8[%]) and 35 women (42.2[%]), with mean age 56.8±11.9 years. The patients were divided into 3 groups depending on the type of intervention. The enucleation, enucleoresetion and classical partial nephrectomy with removal of 0.5-1 cm margin of normal parenchyma was performed in Group 1 (n=41), Group 2 (n=31) and Group 3 (n=11), respectively. A computer program Amira was used for the reconstruction of 3D-model of tumor during preoperative planning. On the basis of 3D-model, an information about the structures situated beneath the tumor was obtained, as well as anatomy of vessels and relationship between the ren

Ключевые слова:

Laparoscopic partial nephrectomy; Nephronsparing surgery; Renal cell cancer; Zero ischemia

adult; aged; computer assisted surgery; diagnostic imaging; female; human; kidney; kidney tumor; laparoscopy; male; middle aged; nephrectomy; nephron; three dimensional imaging; Adult; Aged; Female; Humans; Imaging, Three-Dimensional; Kidney; Kidney Neoplasms; Laparoscopy; Male; Middle Aged; Nephrectomy; Nephrons; Surgery, Computer-Assisted

Язык текста: Русский

ISSN: 1728-2985

Мамедкасимов Н. А.

Спот Е. В.

Аляев Ю. Г. Юрий Геннадьевич 1942-

Рапопорт Л. М. Леонид Моисеевич 1956-

Сорокин Н. И. Николай Иванович 1979-

Mamedkasimov N. A.