ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
https://doi.org/10.17709/2409-2231-2019-6-1-5
Abstract
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.
About the Authors
A. D. Karnin
National Medical Radiology Research Centre
Russian Federation
Russian Federation
academician of RAS, PhD, MD, Prof.; Corr. member of the Russian Academy of Education; Honored Physician of the Russian Federation; General, Director
4 Koroleva str., Obninsk, Kaluga region, 249036, Russian Federation
A. A. Kostin
National Medical Radiology Research Centre
Russian Federation
Russian Federation
MD, PhD, DSc, professor, head of department of urology, oncology and radiology of FAS, FHC MD Medical Institute RUDN University; fi rst deputy general director
4 Koroleva str., Obninsk, Kaluga region, 249036, Russian Federation
S. O. Stepanov
P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre
Russian Federation
Russian Federation
head of the department for ultrasound diagnosis, doctor ultrasound diagnostics
3, 2nd Botkinskiy proezd, Moscow, 125284, Russian Federation
N. V. Vorobyev
P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre
Russian Federation
Russian Federation
MD, PhD, urologist, head of the oncourology department
3, 2nd Botkinskiy proezd, Moscow, 125284, Russian Federation
P. D. Bespalov
P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre
Russian Federation
Russian Federation
MD, PhD, ultrasound doctor
3, 2nd Botkinskiy proezd, Moscow, 125284, Russian Federation
V. O. Dimitrov
P. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological Centre
Russian Federation
Russian Federation
3rd year postgraduate student
3, 2nd Botkinskiy proezd, Moscow, 125284, Russian Federation
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Review
For citations:
Karnin A.D., Kostin A.A., Stepanov S.O., Vorobyev N.V., Bespalov P.D., Dimitrov V.O. ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS. Research and Practical Medicine Journal. 2019;6(1):50-59. (In Russ.) https://doi.org/10.17709/2409-2231-2019-6-1-5
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