Tumorectomía off-clamp por retroperitoneocopia en tumores renales posteriores de complejidad media (Padua score 8-9)
作者： JA Peña , I Schwartzmann , P Gavrilov , E Moncada , JM López
DOI: 10.1016/J.ACURO.2015.06.005
关键词: Medicine 、 Humanities
摘要: Resumen Introduccion Las guias recomiendan cirugia parcial en tumores renales T1. Diferentes aspectos han evolucionado estos ultimos anos: forma y duracion del clampaje, enucleacion, abordaje por retroperitoneoscopia la utilizacion de puertos 3 mm. Presentamos nuestra serie inicial tumorectomia renal laparoscopica (TRLR) analizando curva aprendizaje el uso instrumental Material metodos De enero 2011 a 2015, realizamos TRLR 50 pacientes con T1 cara posterior o convexidad renal. Tras 10 casos, tecnica paso ser off-clamp posteriormente 11 casos se realizo Resultados El tamano tumoral fue 34,36 mm (14-62) un PADUA 8,42 (5-12), tiempo operatorio 163,1 minutos (75-300) isquemia caliente 4,21 (0-28). No clampo arteria principal 41 (82%) ningun vaso (isquemia 0) 39 (78%). Siete presentaron margenes positivos (6 focales). Se realizaron material 3 mm quirurgico, sangrado intraoperatorio estancia hospitalaria menores. Conclusiones La sumada enucleacion permiten extirpacion sin clampaje posteriores rinon una relativamente corta. permite realizar aunque experiencia ha resultado mayor tasa quirurgicos positivos.
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