Tratamiento quirúrgico del carcinoma de células renales en personas de edad avanzada

Rodríguez-Covarrubias, Francisco; Rivera-Ramírez, José Alejandro; Gabilondo-Pliego, Bernardo; Castillejos-Molina, R.A.; Sotomayor, Mariano; Feria-Bernal, Guillermo; Gabilondo-Navarro, Fernando

doi:10.1016/j.acuro.2016.01.009

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…In literature, benign SRM are found in 13 to 30% of the cases and about 40% correspond to low aggressiveness [17][18][19]. A recent study from Mexico, involving elderly patients, reported 26% of pT1a [20]. Our series evidenced a similar proportion of pT1a cases (25.2%).…”

Section: Discussionsupporting

confidence: 70%

“…Considering that elderly people have more comorbidities and that RN can proportionate a higher risk of renal dysfunction [20,24], we found that NSS is associated with a better 10-year OS in this population. Russel [25] analyzed patients ≥80 years of age and described a extent and number of retroperitoneal lymph nodes removed have no defined templates.…”

Section: Discussionmentioning

confidence: 73%

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Small renal masses in Latin-American population: characteristics and prognostic factors for survival, recurrence and metastasis – a multi-institutional study from LARCG database

et al. 2020

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Background: To evaluate demographic, clinical and pathological characteristics of small renal masses (SRM) (≤ 4 cm) in a Latin-American population provided by LARCG (Latin-American Renal Cancer Group) and analyze predictors of survival, recurrence and metastasis. Methods: A multi-institutional retrospective cohort study of 1523 patients submitted to surgical treatment for nonmetastatic SRM from 1979 to 2016. Comparisons between radical (RN) or partial nephrectomy (PN) and young or elderly patients were performed. Kaplan-Meier curves and log-rank tests estimated 10-year overall survival. Predictors of local recurrence or metastasis were analyzed by a multivariable logistic regression model. Results: PN and RN were performed in 897 (66%) and 461 (34%) patients. A proportional increase of PN cases from 48.5% (1979-2009) to 75% (after 2009) was evidenced. Stratifying by age, elderly patients (≥ 65 years) had better 10year OS rates when submitted to PN (83.5%), than RN (54.5%), p = 0.044. This disparity was not evidenced in younger patients. On multivariable model, bilaterality, extracapsular extension and ASA (American Society of Anesthesiologists) classification ≥3 were predictors of local recurrence. We did not identify significant predictors for distant metastasis in our series.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 73%

Small renal masses in Latin-American population: characteristics and prognostic factors for survival, recurrence and metastasis – a multi-institutional study from LARCG database

et al. 2020

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“…We have previously described our surgical experience in a small cohort of elderly patients with RCC showing that surgery appears to be safe in properly selected cases 6 . To the best of our knowledge, larger reports coming from Latin America are scarce.…”

Section: Introductionmentioning

confidence: 99%

Characteristics and Surgical Outcomes in Very Elderly Patients (>-75 years) with Renal Cell Carcinoma: Data from the Latin American Renal Cancer Group

Garza-Gangemi

Castillejos-Molina

Gueglio

et al. 2021

RIC

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Background: The incidence of renal cell carcinoma (RCC) is increasing globally due to an aging population and widespread use of imaging studies. Objective: The aim of this study was to describe the characteristics and perioperative outcomes of RCC surgery in very elderly patients (VEP), ≥ 75 years of age. Methods: This is a retrospective comparative study of 3656 patients who underwent the treatment for RCC from 1990 to 2015 in 28 centers from eight Latin American countries. We compared baseline characteristics as well as clinical and perioperative outcomes according to age groups (<75 vs. ≥75 years). Surgical complications were classified with the Clavien-Dindo score. We performed logistic regression analysis to identify factors associated with perioperative complications. Results: There were 410 VEP patients (11.2%). On bivariate analysis, VEP had a lower body mass index (p < 0.01) and higher ASA score (ASA >2 in 26.3% vs. 12.4%, p < 0.01). There was no difference in performance status and clinical stage between the study groups. There were no differences in surgical margins, estimated blood

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Beneficio de la nefrectomía en el tratamiento del carcinoma de células renales metastásico

León

Pellejero-Pérez

Quintás-Blanco

et al. 2017

Actas Urológicas Españolas

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Tratamiento quirúrgico del carcinoma de células renales en personas de edad avanzada

Cited by 4 publications

References 18 publications

Small renal masses in Latin-American population: characteristics and prognostic factors for survival, recurrence and metastasis – a multi-institutional study from LARCG database

Small renal masses in Latin-American population: characteristics and prognostic factors for survival, recurrence and metastasis – a multi-institutional study from LARCG database

Characteristics and Surgical Outcomes in Very Elderly Patients (>-75 years) with Renal Cell Carcinoma: Data from the Latin American Renal Cancer Group

Beneficio de la nefrectomía en el tratamiento del carcinoma de células renales metastásico

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