TY - JOUR

T1 - СРАВНЕНИЕ ЛАПАРОСКОПИЧЕСКОЙ РЕЗЕКЦИИ ПОЧКИ ПРИ ОПУХОЛЕВОМ ПОРАЖЕНИИ С НАЛОЖЕНИЕМ И БЕЗ НАЛОЖЕНИЯ ГЕМОСТАТИЧЕСКОГО ШВА

AU - Nosov, A. K.

AU - Lushina, P. A.

AU - Petrov, S. B.

AU - Vorobiev, A. V.

AU - Kalinin, P. S.

AU - Mishchenko, A. V.

PY - 2017

Y1 - 2017

N2 - There is proposed to refuse from the sealing of the parenchyma since the ligature method of hemostasis is an additional factor damaging the parenchyma of the kidney. In our opinion it is sufficient to perform electrohemostasis with the addition of local adhesive compositions. In the analysis of data from 2015 to 2016 on the basis of the Department of Urology of the N.N. Petrov Research Institute of Oncology there were performed 90 laparoscopic resections without ischemia and without a hemostatic suture applied to the resection area. The volume of blood loss, the duration of the operation, the volume of the functioning parenchyma of the kidney, before and after surgery, postoperative complications were estimated. With a comparative evaluation of the volume of the functioning parenchyma of the kidney before and after the operation, according to data of CT and CT-perfusion, the volume of functioning parenchyma of the resected kidney decreased only by the volume of the removed tumor. Resection of the kidney without applying a hemostatic suture to the area of resection, in conditions of hypotension, allowed improving the results of surgery relatively to kidney function in comparison with resection with the classical ligature method of hemostasis.

AB - There is proposed to refuse from the sealing of the parenchyma since the ligature method of hemostasis is an additional factor damaging the parenchyma of the kidney. In our opinion it is sufficient to perform electrohemostasis with the addition of local adhesive compositions. In the analysis of data from 2015 to 2016 on the basis of the Department of Urology of the N.N. Petrov Research Institute of Oncology there were performed 90 laparoscopic resections without ischemia and without a hemostatic suture applied to the resection area. The volume of blood loss, the duration of the operation, the volume of the functioning parenchyma of the kidney, before and after surgery, postoperative complications were estimated. With a comparative evaluation of the volume of the functioning parenchyma of the kidney before and after the operation, according to data of CT and CT-perfusion, the volume of functioning parenchyma of the resected kidney decreased only by the volume of the removed tumor. Resection of the kidney without applying a hemostatic suture to the area of resection, in conditions of hypotension, allowed improving the results of surgery relatively to kidney function in comparison with resection with the classical ligature method of hemostasis.

KW - Kidney cancer

KW - Laparoscopy

KW - Resection

UR - http://www.scopus.com/inward/record.url?scp=85020487005&partnerID=8YFLogxK

M3 - статья

AN - SCOPUS:85020487005

VL - 63

SP - 281

EP - 286

JO - Вопросы онкологии

JF - Вопросы онкологии

SN - 0507-3758

IS - 2

ER -