ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS

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...

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Main Authors: A. D. Karnin, A. A. Kostin, S. O. Stepanov, N. V. Vorobyev, P. D. Bespalov, V. O. Dimitrov
Format: Article
Language:Russian
Published: QUASAR, LLC 2019-04-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/358
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author A. D. Karnin
A. A. Kostin
S. O. Stepanov
N. V. Vorobyev
P. D. Bespalov
V. O. Dimitrov
author_facet A. D. Karnin
A. A. Kostin
S. O. Stepanov
N. V. Vorobyev
P. D. Bespalov
V. O. Dimitrov
author_sort A. D. Karnin
collection DOAJ
description 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.
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spelling doaj-art-c96f32aca9a847049655e887cd6dd4862025-02-03T00:57:38ZrusQUASAR, LLCИсследования и практика в медицине2410-18932019-04-0161505910.17709/2409-2231-2019-6-1-5246ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORSA. D. Karnin0A. A. Kostin1S. O. Stepanov2N. V. Vorobyev3P. D. Bespalov4V. O. Dimitrov5National Medical Radiology Research CentreNational Medical Radiology Research CentreP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentreP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentreP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentreP. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentrePurpose. 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.https://www.rpmj.ru/rpmj/article/view/358kidney tumorintraoperative ultrasoundkidney resectioncomplicationsrenal scale
spellingShingle A. D. Karnin
A. A. Kostin
S. O. Stepanov
N. V. Vorobyev
P. D. Bespalov
V. O. Dimitrov
ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
Исследования и практика в медицине
kidney tumor
intraoperative ultrasound
kidney resection
complications
renal scale
title ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
title_full ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
title_fullStr ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
title_full_unstemmed ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
title_short ANALYSIS OF THE INTRAOPERATIVE ULTRASOUND RESULTS IN THE SURGICAL TREATMENT OF RENAL TUMORS
title_sort analysis of the intraoperative ultrasound results in the surgical treatment of renal tumors
topic kidney tumor
intraoperative ultrasound
kidney resection
complications
renal scale
url https://www.rpmj.ru/rpmj/article/view/358
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