Surgical treatment of the locally-spread and recurrent solid tumors of abdominal cavity and retroperitoneal space with nephrectomy ex vivo ex situ and renal autotransplantation


Keywords: nephrectomy ex vivo ex situ; renal autotransplantation; acute renal injury; solid tumors of abdominal cavity and retroperitoneal space

Abstract

Objective. Improvement of the treatment results in patients with the locally-spread and recurrent solid tumors of abdominal cavity and retroperitoneal space.  

Materials and methods. From June 2015 till January 2018 yrs in National Cancer Institute the combined operative interventions with nephrectomy were conducted to 28 patients, suffering primary locally-spread solid tumors of abdominal cavity and retroperitoneal space.

Results. In 5 of 28 patients a nephrectomy ex vivo ex situ with renal autotransplantation were performed, of then in 4 - successfully. An acute renal injury was observed in 6 (26%) patients, in whom renal autotransplantation was not conducted. After the operation 2 (8.7%) patients died. In the patients, in whom a kidney was preserved, an acute renal injury was not observed, nobody of these patients died.

Conclusion. In future in every patient, undergoing surgical treatment of solid tumors of abdominal cavity and retroperitoneal space, besides primary renal cancer, a possibility of a renal autotransplantation performance must be considered for prevention of an acute injury and in chronic renal disease. This procedure is expedient to perform in specialized centers, were the oncovascular surgery experience is accumulated.

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Author Biographies


O. V. Vasylyev, National Cancer Institute, Kyiv

Vasylyev Oleg Valentinovich, PhD (Med),

head of department of hepatopancreatoboliary surgery

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

+38 (044) 257-93-15,

vsonm13@gmail.com,

http://orcid.org/0000-0002-5450-7048


S. S. Sikachyov, National Cancer Institute, Kyiv

Sikachov Sergei Sergeevich, surgical oncologist,

Department of hepatopancreatoboliary surgery,

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

+38 (044) 257-93-15,

Moб.тeл.: +38(096)5330015.

sikachow@gmail.com,

http://orcid.org/0000-0003-3702-4041


O. O. Kvasivka, National Cancer Institute, Kyiv

Kvasivka Alexandr Alexandrovich, surgical oncologist,

Department of hepatopancreatoboliary surgery,

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

+38 (044) 257-93-15,

kvasivka11.com@mail.ru,

http://orcid.org/0000-0003-4300-0644


V. I. Kopetskyi, National Cancer Institute, Kyiv

Kopetskyi Viacheslav Igorevich, surgical oncologist,

Department of hepatopancreatoboliary surgery,

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

 +38 (044) 257-93-15,

 holerik@ukr.net,

http://orcid.org/0000-0003-3255-5599


D. O. Cheverdyuk, National Cancer Institute, Kyiv

Cheverdiuk Dmitrii Alexandrovich, surgical oncologist,

Department of hepatopancreatoboliary surgery,

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

 +38 (044) 257-93-15,

cheverdiuk@gmail.com,

http://orcid.org/0000-0003-4514-7586


V. I. Dorozhynskyi, National Cancer Institute, Kyiv

Doroginskyi Vladimir Ivanovich,  surgical oncologist,

Department of hepatopancreatoboliary surgery,

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

 +38 (044) 257-93-15,

v_i_d@ukr.net,

http://orcid.org/0000-0002-7615-4773


Yu. V. Vitruk, National Cancer Institute, Kyiv

Vitruk Iurii Vasi Vasilyevich, PhD (Med), surgical oncologist, urologist,

Department of hepatopancreatoboliary surgery,

National cancer institute,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

+38 (044) 257-93-15,

uvitruk@ukr.net,

http://orcid.org/0000-0003-3466-0552


O. E. Stakhovskyi, National Cancer Institute, Kyiv

Stakhovskyi Alexandr Eduardovich, PhD (Med), surgical oncologist, urologist,

National cancer institute,

Department of hepatopancreatoboliary surgery,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

 +38 (044) 257-93-15,

stakhovsky9@gmail.com,

http://orcid.org/0000-0002-0030-5459


K. V. Kopchak, National Cancer Institute, Kyiv

Kopchak Kostyantyn Vladimirovich, Doctor of Sci (Med), surgical oncologist,

National cancer institute,

Department of hepatopancreatoboliary surgery,

Ukraine, Kyiv-03022, Lomonosova str, 33/43,

+38 (044) 257-93-15,

 kvkopchak@gmail.com,

http://orcid.org/0000-0002-9804-4073

Published
2018-11-01
How to Cite
Vasylyev, O. V., Sikachyov, S. S., Kvasivka, O. O., Kopetskyi, V. I., Cheverdyuk, D. O., Dorozhynskyi, V. I., Vitruk, Y. V., Stakhovskyi, O. E., & Kopchak, K. V. (2018). Surgical treatment of the locally-spread and recurrent solid tumors of abdominal cavity and retroperitoneal space with nephrectomy ex vivo ex situ and renal autotransplantation. Klinicheskaia Khirurgiia, 85(11), 61-64. https://doi.org/10.26779/2522-1396.2018.11.61
Section
General Problems of Surgery

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