Results and advantages of organ preservation surgical treatment of the patients having renal cell carcinoma

G.N. Alekseeva, L.I. Gurina
Keywords: renal cell cancer, nephrectomy, renal resection, organ preservation treatment, survivability.
Medicinskij al'manah, 2015, issue 2, pages 42-45.

Purpose of the study is results and advantages evaluation of surgical treatment of patients having localized

renal cell carcinoma (RCC) comparing direct and long-term results of two compared patient groups

who underwent organ preservation surgery (OPS) (n=124) or nephrectomy (n=127). Evaluation of survivability

was calculated with the help of Kaplan-Meier estimate. In both patient groups no significant difference

was discovered from the point of view of blood loss (median value is 300 ml) and duration of stay

in hospital. Median value of the time of renal ischemia comprised 15,0±3,4 minutes. Complications

occurred in the case of OPS more often (10,4%) than after nephrectomy – in 4,7% of cases, however in

accordance with Clavien-Dindo classification they were milder. In the OPS group trend towards the

increase of general 5-year term survivability was discovered (89,1%) in comparison with patients who

underwent nephrectomy (70,6%, р=0,248). OPS is an efficient and safe method of RCC treatment and is

still not wide-spread in general clinical practice.

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G.N. Alekseeva, L.I. Gurina Results and advantages of organ preservation surgical treatment of the patients having renal cell carcinoma. Medicinskij al'manah 2015; (2): 42–45