Open Partial Nephrectomy and NSS In Renal Tumours T1N0M0-60Months Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: Radical Nephrectomy was the gold standard for Renal tumours . For small tumours , tumours less than 7 cms Partial nephrectomy or Nephron sparing surgery is becoming the desired option now. After the pioneering work of Puielvert, Czerny, Andrew Novick, Inderbir Gill and many authors, NSS was very simplified, feasible in all Centres. Materials and Methods: 25 Patients undergoing partial Nephrectomy and NSS for T1N0M0 renal tumours analysed from January 2010 to December 2015 were studied clinically, pathologically with Regular Followup. Results : The Mean age was 50±3.5 , Mean size of tumour was 3.5, main surgeries performed were: partial polar Nephrectomy 5 , transverse resection 6, wedge Resection 6, segmental resection 5. Techniques used were: clamp method with bulldog clamps with cooling with ice slush were 13, warm ischemia 7 , zero ischemia 5 . mean blood loss was 210±15ml. mean warm ischemia time was 20±3 mins mean operating time was 160±12mins. Main Histology was Renal cell carcinoma clear cell type. Surgical margins were negative for tumour cells. No renal insufficiency or distal metastasis or local recurrence in all our patients. Disease free survival and 5 Year over all survival were 98%. Conclusions: In selective cases of T1N0M0, we can do safe surgery with excellent results.
Authors and Affiliations
P. V. Thiruvarul, S. Rajasekar, R. Rajkumar, P. Senthilkumar Gmkmch
Keywords
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