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Mini-Flank Supra-12th Rib Incision for Open Partial Nephrectomy for Renal Tumor With RENAL Nephrometry Score >= 10 An Innovation of Traditional Open Surgery 期刊论文

编号：

e2c8a4d2-2a6c-430c-b0e8-b8ee36e2def1
作者：

Wang, Hang(王杭)#*^[1]Sun, Lian(孙立安)^[1]Wang, Yiwei(王一惟)^[1]Xiang, Zhuoyi^[1];Zhou, Lin(周林)^[1]Guo, Jianming(郭剑明)^[1]Wang, Guomin(王国民)^[1]
语种：

English
期刊：

MEDICINE ISSN：0025-7974 2015 年 94 卷 13 期 ; APR
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摘要：

The skill of supra-12th rib mini-flank approach for open partial nephrectomy (MI-OPN) provides an advanced operative method for renal tumor. Compared with laparoscopic and robotic surgery, it may be a feasible selection for the complex renal tumors. We describe our techniques and results of MI-OPN in complex renal tumors with high RENAL nephrometry score (RENAL nephrometry score >= 10). Fifty-five patients diagnosed with renal tumors between January 2009 and July 2013 were included in this study. Eligibility criteria comprised of patients with complex renal tumor (RENAL score similar to 10) being candidates for partial nephrectomy (PN). All patients received MI-OPN and all surgeries were performed by a single urologist. The preoperative workup comprised of medical history, physical examination, and routine laboratory tests. Serum creatinine was recorded preoperatively and 2 to 3 months after operation. Operative time, ischemia time, blood loss, operative and postoperative complications, renal function, and pathology parameters were recorded. MI-OPN was successfully performed in all cases. Mean tumor size was 4.7 cm (range: 2.5-8.1). Mean warm ischemia time was 28.1 minutes (range: 21-39), mean operative time was 105minutes (range: 70-150) and mean estimated blood loss was 68mL (range: 10-400). Mean postoperative hospital stay was 6.5 days (range: 5-12). Postoperative complications were found in 3 patients (5.5%). The mean pre-and postoperative serum creatinine levels were 76.2mmol/L (range: 47-132) and 87.1mmol/L (range: 61-189) with significant difference (P = 0.004). The mean pre-and postoperative estimated glomerular filtration rate (eGFR) were 91.5 (range: 34-133) and 82.5 (range: 22126.5), respectively with significant difference (P = 0.024). In an average follow-up of 19.9 months (range: 8-50), no local recurrence or systemic progression occurred. In conclusion, MI-OPN can combine the benefits of both minimal invasive and traditional open partial nephrectomy (OPN) techniques with a smaller incision. It is an innovation of traditional OPN and suitable for the complex renal tumors with high RENAL nephrometry score safely and effectively.
推荐引用方式
GB/T 7714：

Wang Hang,Sun Li-an,Wang Yiwei, et al. Mini-Flank Supra-12th Rib Incision for Open Partial Nephrectomy for Renal Tumor With RENAL Nephrometry Score >= 10 An Innovation of Traditional Open Surgery [J].MEDICINE,2015,94(13).
APA：

Wang Hang,Sun Li-an,Wang Yiwei,Xiang Zhuoyi,&Wang Guomin.(2015).Mini-Flank Supra-12th Rib Incision for Open Partial Nephrectomy for Renal Tumor With RENAL Nephrometry Score >= 10 An Innovation of Traditional Open Surgery .MEDICINE,94(13).
MLA：

Wang Hang, et al. "Mini-Flank Supra-12th Rib Incision for Open Partial Nephrectomy for Renal Tumor With RENAL Nephrometry Score >= 10 An Innovation of Traditional Open Surgery" .MEDICINE 94,13(2015).

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