OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES

Objective: To assess the safety and oncological outcomes of Open Partial Nephrectomy in management of small renal tumours. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Jan 2015 to Dec 2018. Methodology: We prospectively studied...

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Autores principales:	Qamar Zia, Mudassar Sajjad, Muhammad Akmal, Faran Kiyani, Muhammad Nawaz, Sohail Razzaq
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	cold ischemia time humans kidney cancer kidney neoplasm margins of excision nephrectomy renal neoplasm warm ischemia time Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/041593654f0942568726221bad767018
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spelling	oai:doaj.org-article:041593654f0942568726221bad7670182021-12-02T16:32:53ZOPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES0030-96482411-884210.51253/pafmj.v71i1.3377https://doaj.org/article/041593654f0942568726221bad7670182021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3377https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess the safety and oncological outcomes of Open Partial Nephrectomy in management of small renal tumours. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Jan 2015 to Dec 2018. Methodology: We prospectively studied 61 patients with renal tumours either observed on computerized tomography (CT) scan or magnetic resonance imaging (MRI) having size ≤7cm and underwent open partial nephrectomy. The collected data included demographics, dimension of tumour, indication for surgery, cold ischemia time, hospital stay, complications and histopathological finding including involvement of margins. Patients were followed up for atleast 2 years. Results: Among 61, 39 patients were male and 22 females. The age of patients ranged from 20-72 years. Mean cold ischaemia time was 24.7 ± 6.37 minutes. Except for 2 patients with Von Hippel–Lindau (VHL) disease, all other patients had solitary renal growth. Nine (14.75%) patients had solitary kidney. The mean of maximum dimension of tumours was 3.84 ± 1.38 cm and mean hospital stay was 3.18 ± 2.19 days. Histopathological results showed 34 tumours to be conventional renal cell carcinoma (RCC) (55.73%) followed by 12 papillary renal cell carcinoma (19.67%). Two (3.27%) patients had positive surgical margin who were operated for >5 cm tumours and later managed expectantly. Twenty one patients had Grade I and II complications while 2 patients were stented post operatively for urine leak. At 2 years follow up there was no recurrence of tumour in any of the patient operated. Conclusion: Open ..........Qamar ZiaMudassar SajjadMuhammad AkmalFaran KiyaniMuhammad NawazSohail RazzaqArmy Medical College Rawalpindiarticlecold ischemia timehumanskidney cancerkidney neoplasmmargins of excisionnephrectomyrenal neoplasmwarm ischemia timeMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 145-49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cold ischemia time humans kidney cancer kidney neoplasm margins of excision nephrectomy renal neoplasm warm ischemia time Medicine R Medicine (General) R5-920
spellingShingle	cold ischemia time humans kidney cancer kidney neoplasm margins of excision nephrectomy renal neoplasm warm ischemia time Medicine R Medicine (General) R5-920 Qamar Zia Mudassar Sajjad Muhammad Akmal Faran Kiyani Muhammad Nawaz Sohail Razzaq OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES
description	Objective: To assess the safety and oncological outcomes of Open Partial Nephrectomy in management of small renal tumours. Study Design: Case series. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Jan 2015 to Dec 2018. Methodology: We prospectively studied 61 patients with renal tumours either observed on computerized tomography (CT) scan or magnetic resonance imaging (MRI) having size ≤7cm and underwent open partial nephrectomy. The collected data included demographics, dimension of tumour, indication for surgery, cold ischemia time, hospital stay, complications and histopathological finding including involvement of margins. Patients were followed up for atleast 2 years. Results: Among 61, 39 patients were male and 22 females. The age of patients ranged from 20-72 years. Mean cold ischaemia time was 24.7 ± 6.37 minutes. Except for 2 patients with Von Hippel–Lindau (VHL) disease, all other patients had solitary renal growth. Nine (14.75%) patients had solitary kidney. The mean of maximum dimension of tumours was 3.84 ± 1.38 cm and mean hospital stay was 3.18 ± 2.19 days. Histopathological results showed 34 tumours to be conventional renal cell carcinoma (RCC) (55.73%) followed by 12 papillary renal cell carcinoma (19.67%). Two (3.27%) patients had positive surgical margin who were operated for >5 cm tumours and later managed expectantly. Twenty one patients had Grade I and II complications while 2 patients were stented post operatively for urine leak. At 2 years follow up there was no recurrence of tumour in any of the patient operated. Conclusion: Open ..........
format	article
author	Qamar Zia Mudassar Sajjad Muhammad Akmal Faran Kiyani Muhammad Nawaz Sohail Razzaq
author_facet	Qamar Zia Mudassar Sajjad Muhammad Akmal Faran Kiyani Muhammad Nawaz Sohail Razzaq
author_sort	Qamar Zia
title	OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES
title_short	OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES
title_full	OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES
title_fullStr	OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES
title_full_unstemmed	OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES
title_sort	open partial nephrectomy for small renal tumours: technical and oncological outcomes
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/041593654f0942568726221bad767018
work_keys_str_mv	AT qamarzia openpartialnephrectomyforsmallrenaltumourstechnicalandoncologicaloutcomes AT mudassarsajjad openpartialnephrectomyforsmallrenaltumourstechnicalandoncologicaloutcomes AT muhammadakmal openpartialnephrectomyforsmallrenaltumourstechnicalandoncologicaloutcomes AT farankiyani openpartialnephrectomyforsmallrenaltumourstechnicalandoncologicaloutcomes AT muhammadnawaz openpartialnephrectomyforsmallrenaltumourstechnicalandoncologicaloutcomes AT sohailrazzaq openpartialnephrectomyforsmallrenaltumourstechnicalandoncologicaloutcomes
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OPEN PARTIAL NEPHRECTOMY FOR SMALL RENAL TUMOURS: TECHNICAL AND ONCOLOGICAL OUTCOMES

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