| Autor: |
Chia-Yen Lin, Cheng-Kuang Yang, Yen-Chuan Ou, Kun-Yuan Chiu, Chen-Li Cheng, Hao-Chung Ho, Shian-Shiang Wang, Chuan-Shu Chen, Jian-Ri Li |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Asian Journal of Surgery, Vol 41, Iss 2, Pp 187-191 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
1015-9584 |
| DOI: |
10.1016/j.asjsur.2016.11.003 |
| Popis: |
Background/Objective: To present the long-term result and efficacy of robotic partial nephrectomy (RPN) for renal angiomyolipomas (AMLs) with perioperative outcome and renal function preservation. Methods: From September 2006 to October 2014, the database of a single medical center was reviewed and patients who underwent RPN for AMLs were enrolled. The patient demographics, perioperative complications, and postoperative outcomes were analyzed. Results: We identified 23 patients who were treated with RPN for renal AMLs. The average age was 52.7 (± 9.9) years, and 20 (87%) patients were female. The median size of the resected AML was 5.2 [interquartile range (IQR) = 3.1–6.8] cm. The median estimated blood loss was 100 (IQR = 50–225) mL, and three (13%) patients required blood transfusion. Perioperative complications occurred in six (26%) patients and none of them are higher than Clavien Grade II. The median estimated glomerular filtration rate at 3-month and the latest follow-ups were 103 (IQR = 85.5–112) mL/min/1.73m2 and 104 (IQR = 90–112) mL/min/1.73m2, respectively, with a median of 89.6% (IQR = 84.2–100) and 86.9% (IQR = 81.3–97.8) preservation, respectively. The median follow-up period was 40 (IQR = 30.5–61.5) months. None of the patients developed complications requiring a second intervention or local recurrence of AML. Conclusion: A long-term follow-up of RPN for renal AMLs revealed good preservation of renal function with a low complication rate. It may be considered as a reliable method to manage renal AMLs. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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