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4cm 미만 크기의 신세포암에서 시행한 복강경 신보존수술

Other Titles
 Laparoscopic Nephron Sparing Surgery for Small Renal Cell Carcinoma less than 4cm 
Authors
 이용성  ;  이승훈  ;  한웅규  ;  이영훈  ;  양승철  ;  나군호 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.47(10) : 1052-1058, 2006 
Journal Title
 KOREAN JOURNAL OF UROLOGY 
ISSN
 0494-4747 
Issue Date
2006
Keywords
Laparoscopy ; Renal cell carcinoma ; Nephron
Abstract
Purpose: Laparoscopic nephron sparing surgery has emerged as a feasible treatment option for patients with a small, exophytic renal mass. We evaluated and report our experience with laparoscopic nephron sparing surgery. Materials and Methods: Between December 2004 and October 2005, laparoscopic nephron sparing surgeries were performed for 11 exophytic renal masses less than 4cm. The mean mass size was 2.5cm (range: 1.7-3.5). The operative parameters, including the operative time, the estimated blood loss, the warm ischemic time and the postoperative hospital stay were evaluated. In addition, the oncological parameters such as the resection margin status and tumor recurrence were evaluated. Results: All procedures were completed laparoscopically and patients had satisfactory outcomes with objective cure follow up imaging studies. There were no definitely intraoperative and postoperative complications. The mean operative time was 145.8 minutes (range: 60-195), and the mean warm ischemic time was 28.5 minutes (range: 20-38). The mean blood loss was 307.1ml (range: 100-800), and the postoperative hospital stay was 5.8 days (range: 3-10). No positive resection margin and tumor recurrence were seen during follow-up periods (mean follow up: 6 months). Conclusions: Laparoscopic nephron sparing surgery can be a safe and effective treatment for an exophytic renal mass less than 4cm. It could be considered as a primary procedure in selected cases to preserve the renal function.
Files in This Item:
T200601615.pdf Download
DOI
10.4111/kju.2006.47.10.1052
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Yang, Seung Choul(양승철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110625
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