| Yazarlar |
Doç. Dr. Ümit YILDIRIM
Kafkas Üniversitesi, Türkiye |
Uğur Boylu
Türkiye |
|
Ahmet Bindayı
Türkiye |
|
Eyüp Veli Küçük
Türkiye |
|
Eyüp Gümüş
Türkiye |
| Özet |
| Introduction: This study is an evaluation of the oncological and functional outcomes of radical nephrectomy (RN) and partialnephrectomy (PN).Methods: A total of 201 patients with a kidney tumor who underwent RN and PN between January 2009 and July 2016 atthe hospital were included in the study. Preoperative, operative, and postoperative follow-up data were recorded prospectivelyand analyzed retrospectively using the Student’s t-test and the Wilcoxon signed-rank test. Patient survival was analyzedusing the Kaplan-Meier estimator.Results: In all, 79 patients underwent RN and 122 patients underwent PN. In the RN group, open surgery was performed for38 patients, laparoscopic surgery for 32, and robotic surgery for 9 patients. In the PN group, open surgery was performed for41, laparoscopic surgery for 10, and robotic surgery for 71 patients. The mean age of the RN and PN groups was 60.5 years and55.4 years, respectively (p=0.007). The mean operation time was 207.1±51.3 minutes in the RN group and 193.1±56.5 minutesin the PN group (p=0.078). The mean estimated blood loss was 613.4±280.6 mL in the RN group and 274.2±258.6 mL in thePN group (p=0.005). The length of hospital stay was statistically significantly longer in the RN group (p<0.0001). The preoperativemean estimated glomerular filtration rate value of the RN and PN groups was 92.9±29.1 mL/min/1.73m2 and 108.8±31.8mL/min/1.73m2, respectively, and decreased to 72.6±25 mL/min/1.73m2 and 101.2±32.7 mL/min/1.73m2, respectively, atpostoperative month 6 (p<0.0001). The overall survival rate of the RN and PN groups was 69% and 86%, respectively, at postoperativemonth 80 (95% confidence interval).Discussion and Conclusion: PN is a viable option for tumors that are suitable for nephron-sparing surgery and has comparablefunctional and oncological results compared with RN. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale |
| Dergi Adı | HAYDARPAŞA NUMUNE EĞITIM VE ARAŞTIRMA HASTANESI TIP DERGISI |
| Dergi ISSN | 1300-6363 |
| Dergi Tarandığı Indeksler | TR DİZİN |
| Makale Dili | Türkçe |
| Basım Tarihi | 01-2018 |
| Cilt No | 58 |
| Sayı | 1 |
| Sayfalar | 22 / 27 |
| Doi Numarası | 10.14744/hnhj.2018.09326 |
| Makale Linki | http://dx.doi.org/10.14744/hnhj.2018.09326 |
| Atıf Sayıları |
