masterThesis
Experiencia en nefrectomía: serie de casos de cuatro años
Fecha
2014Autor
Soto Morales, Claudio Giovanni
Institución
Resumen
Introduction: The indications for a patient to require a nephrectomy are multiples, neoplasms, hydronephrosis and functional exclusion are the main causes. In experienced hands nephrectomy is a safe procedure, especially because nowadays the main approach is to perform a minimally invasive technique with nephron sparing. Analysis of the experience in Mederi is shown in this study. Methods A case series of patients who underwent nephrectomy between May 2008 and May 2012 was performed. All cases were included. Results 72 records, 49 women and 25 men were analyzed, 13 of which were laparoscopic. The average age was 58. 6 years. The average operative time was 169. 23 minutes (118- 220minutes). The mean operative blood loss was 680. 63 ml. The mean hospital stay was 4. 88 days, most patients were distributed in the middle stages of tumor disease, with little nodal involvement and metastasis, histological diagnosis and were the dominant stage renal cell carcinoma Fuhrman stage 3 respectively, 13 cases of Gerota `s capsule commitment and 11 cases with renal hilum commitment. The concordance between the imaging diagnosis (clinical) and intraoperative finding was moderate (κ0. 46). Discussion Nephrectomy experience of the institution is very positive because of the low number of complications and mortality. As for the technique, it is important to promote the laparoscopic one.