Extracorporeal partial nephrectomy under pharmaco-cold ischemia for renal cell carcinoma

Грицкевич, А. А.; Miroshkina, I.V.; Piyanikin, S. S.; Adyrkhayev, Z. A.; Stepanova, Y.; Зотиков, А. Е.; Теплов, А. А.; Кубышкин, В А; Revishvili, A. Sh.

doi:10.17116/hirurgia2017142-47

Cited by 5 publications

(3 citation statements)

References 11 publications

(10 reference statements)

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“…NSS equally has advantages over kidney transplantation, considering the shortage of donor organs worldwide. Moreover, it is a more cost-effective method, not requiring any delay or immunosuppressive therapy known for its adverse effects [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, when “in situ” renal resection is not possible (multiple, large, or centrally located tumours), authors resorted to performing ECPN with ortho- or heterotopic autotransplantation of the resected kidney [12, 17]. Currently, the experience with such operations is not great, but their results are satisfactory [12, 14, 16-19]. Anyhow, we could not find cases of ECPN with orthotopic replantation under pharmaco-cold ischaemia for RCC complicated by IVC tumour thrombosis in single kidney in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal Partial Nephrectomy with Orthotopic Autotransplantation under Pharmaco-Cold Ischaemia for Cancer of a Single Kidney: A Case Report

et al. 2020

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Up to 10% of patients with renal cell carcinoma (RCC) have locally advanced disease with venous tumour thrombosis involving the inferior vena cava (IVC). 30–50% of them present with synchronous metastatic disease. Surgical treatment remains the only potentially radical method for patients suffering from RCC and IVC tumour thrombosis without distant metastases. Five-year cancer-specific survival for such patients is 40–60%. The role of surgery in the treatment of RCC is significant, even if only cytoreductive operation is possible. Nephron-sparing surgery (NSS) is reasonably preferable for patients suffering from single kidney RCC, but it is not always radical enough. Extracorporeal approach allows to perform a radical dissection of the tumour in special complicated cases, but it is seldom used because of technical difficulties. We present a case of successful NSS by extracorporeal approach in our modification for RCC with IVC tumour thrombosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Extracorporeal Partial Nephrectomy with Orthotopic Autotransplantation under Pharmaco-Cold Ischaemia for Cancer of a Single Kidney: A Case Report

et al. 2020

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“…Both renal arteries and both veins were ligated, with the kidney placed in crushed ice without ureter ligation. 5 The kidney was flushed as a bolus through the renal arteries with 700 mL of cold (4°C) Custodiol solution (HTK-Bretschneider, Dr Franz Köhler Chemie, Alsbach-Hähnlein, Germany). The ruptured renal aneurysm was incised.…”

Section: Case Reportmentioning

confidence: 99%

Successful surgical treatment with ex vivo technique in a patient with renal artery aneurysm rupture and bilateral arteriovenous fistula

Ивандаев¹,

Аскерова²,

Зотиков³

et al. 2018

Journal of Vascular Surgery Cases, Innovations and Techniques

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Renal arteriovenous fistulas are pathologic communications between the renal arteries and veins without interconnecting capillaries. Reports on the combination of fibromuscular dysplasia, aneurysms, and renal arteriovenous fistula are extremely rare in the literature. In the case of renal arteriovenous aneurysm rupture, urgent nephrectomy was the only life-saving procedure reported. The ex vivo approach seems to be an appropriate alternative to nephrectomy. This article presents a case of successful treatment of bilateral fibromuscular dysplasia with aneurysm and arteriovenous fistulas complicated by renal artery aneurysm rupture.

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Multidisciplinary approach in cardio-oncology for high inferior vena cava thrombosis

Chevina¹,

uulu²,

Raguzina³

et al. 2023

Khir. Z. im. N.I. Pirogova

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Extracorporeal partial nephrectomy under pharmaco-cold ischemia for renal cell carcinoma

Cited by 5 publications

References 11 publications

Extracorporeal Partial Nephrectomy with Orthotopic Autotransplantation under Pharmaco-Cold Ischaemia for Cancer of a Single Kidney: A Case Report

Extracorporeal Partial Nephrectomy with Orthotopic Autotransplantation under Pharmaco-Cold Ischaemia for Cancer of a Single Kidney: A Case Report

Successful surgical treatment with ex vivo technique in a patient with renal artery aneurysm rupture and bilateral arteriovenous fistula

Multidisciplinary approach in cardio-oncology for high inferior vena cava thrombosis

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