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
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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