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Partial nephrectomy for patients with a solitary kidney
- Authors: Matveev V.B.1, Volkova M.I.1, Alborov S.V.1, Chernyaev V.A.1, Figurin K.M.1, Ridin V.A.1, Kuznetsov K.P.1, Nekhaev I.V.1, Lomidze S.V.1, Gromova E.G.1, Kuznetsova L.S.1
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Affiliations:
- N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of Russia
- Issue: Vol 13, No 2 (2017)
- Pages: 27-35
- Section: DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. RENAL CANCER
- Published: 30.06.2017
- URL: https://oncourology.abvpress.ru/oncur/article/view/683
- DOI: https://doi.org/10.17650/1726-9776-2017-13-2-27-35
- ID: 683
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Abstract
Aim: to evaluate results of partial nephrectomy for patients with a solitary kidney performed at the N.N. Blokhin Cancer Center.
Materials and methods: medical data of 131 patients with solitary kidney tumors underwent partial nephrectomy at the Department of Urology of the N.N. Blokhin Russian Cancer Research Center from 1980 to 2015 were collected. Median age was 57 (26–75) years, a maleto-female ratio was 1:1.2. Median RENAL score was 7.0 ± 2.4. In all cases, chronic kidney disease was initially diagnosed (stage III – 30 (22.9 %), stage IV–V – 0 (0 %)). Median follow-up for all patients was 55 (6–386) months.
Results. The rate of intraoperative complications was 9.2 % (12/131), the rate of postoperative complications was 26.9 % (35/131) (severity grade II – 23 (17.6 %), III – 10 (7.7 %), IV – 1 (0.8 %), V – 1 (0.8 %)). Acute renal failure was observed in 69 (52.7 %) cases, acute dialysis was necessary in 6 (4.6 %) patients. Progression of chronic kidney disease was observed in 58 (44.6 %) patients, hemodialysis was demanded for 2 (1.5 %) patients. Histological study revealed renal cell carcinoma in 124 (94.6 %) samples, positive surgical margins were in 2 (1.5 %) samples. No local recurrences in the resection area were observed. Overall 5- and 10-year survival for all patients with renal cell carcinoma was 89.6 and 72.0 %, specific survival was 93.5 and 81.3 %, recurrence-free survival was 85.3 and 62.2 % respectively.
Conclusion. Partial nephrectomy is an effective method of treatment in of solitary kidney tumors associated with satisfactory functional and oncological outcome
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About the authors
V. B. Matveev
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of Russia
Email: vsevolodmatveev@mail.ru
заведующий урологическим отделением, профессор, член-корреспондент РАН Russian Federation
M. I. Volkova
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of Russia
Email: mivolkova@rambler.ru
ведущий научный сотрудник урологического отделения, д.м.н. Russian Federation
S. V. Alborov
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of Russia
Author for correspondence.
Email: a.s.alborov@mail.ru
24 Kashirskoe Shosse, Moscow 115478, Russian Federation
V. A. Chernyaev
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
K. M. Figurin
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
V. A. Ridin
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
K. P. Kuznetsov
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
I. V. Nekhaev
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
S. V. Lomidze
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
E. G. Gromova
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of Russia
L. S. Kuznetsova
N.N. Blokhin Russian Cancer Reseach Center, Ministry of Health of RussiaRussian Federation
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