ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
| Autor: | S. O. Stepanov, A. A. Kostin, A. D. Karnin, N. V. Vorobyev, P. D. Bespalov, V. O. Dimitrov |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
complications medicine.medical_treatment renal scale Intraoperative ultrasonography intraoperative ultrasound Kidney tumor kidney resection Lesion 03 medical and health sciences 0302 clinical medicine medicine kidney tumor Kidney business.industry General Arts and Humanities Open surgery medicine.disease Tumor formation Nephrectomy medicine.anatomical_structure 030220 oncology & carcinogenesis Medicine 030211 gastroenterology & hepatology Radiology medicine.symptom business Kidney cancer |
| Zdroj: | Issledovaniâ i Praktika v Medicine, Vol 6, Iss 1, Pp 50-59 (2019) |
| ISSN: | 2410-1893 2409-2231 |
| Popis: | Purpose . To evaluate the effectiveness of intraoperative ultrasonography (IOUS) in the surgical treatment of kidney tumors. Patients and methods . Possibilities of IOUS application in the surgical treatment of kidney tumor according to the results of examination and surgical treatment of 145 patients (95 men and 50 women) diagnosed with kidney cancer were evaluated. The patients were divided into 2 groups: group 1 (comparisons) — 76 patients; during the examination and treatment, the IOUS method was not used, group 2 (basic) — 69 patients, who during the surgical treatment used the IOUS method to further clarify the localization, the size and boundaries of the tumor formation. Results . The use of IOUS helped to reduce the frequency of nephrectomy (11.9% in the comparison group and 8.7% in the main group), and reduce the frequency of intraoperative complications, which amounted to (8.7% against 13.2%). The frequency of damage to the spleen and the transition to open surgery did not differ. The use of IOUS allowed to characterize in detail the anatomical features of the tumor, its vascularization and to implement the RENAL prognosis: favorable — in 50.7% of patients, unfavorable — in 15.9%. Conclusion .When performing kidney tumor surgery, it is recommended to perform IOUS of the affected kidney in order to further clarify the boundaries of the tumor lesion to improve the effectiveness of the operation. |
| Databáze: | OpenAIRE |
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