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Single Port Donor Nephrectomy
Published on: March 12, 2011
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[Partial nephrectomy in Venezuela. Where are we? present considerations.]
Jasson Lavi Polar1, Alessandri R Espinoza1, Randick León1
1Servicio de Urología. Hospital Universitario de Caracas. Venezuela.
Archivos Espanoles De Urologia
|July 6, 2019
Summary
Venezuelan urologists frequently perform partial nephrectomy for renal masses, preserving kidney function. While laparoscopy isn't dominant, clear indications guide this kidney-sparing surgery.
Area of Science:
- Urology
- Surgical Oncology
- Nephrology
Background:
- Partial nephrectomy (PN) evolved from treating benign kidney conditions to a primary approach for localized renal tumors.
- Indications for PN have broadened beyond absolute cases (single/bilateral kidneys) to include elective procedures for tumors <4 cm and even larger.
- The shift towards nephron-sparing surgery reflects a growing emphasis on preserving kidney function and mitigating chronic kidney disease risk.
Purpose of the Study:
- To assess the current practice patterns and trends of partial nephrectomy among urologists in Venezuela.
- To understand the indications and frequency of partial nephrectomy for renal mass treatment within the Venezuelan urological community.
- To provide insights into the adoption and application of kidney-sparing surgical techniques in a specific national context.
Main Methods:
- A 21-question survey, adapted from a previous Colombian study, was administered to urologists and residents.
- The survey was conducted during the XXVII National Congress of Urology in Venezuela.
- Data collection focused on surgical practices, indications for partial nephrectomy, and comparison with radical nephrectomy.
Main Results:
- 71 urologists and residents responded, primarily from Caracas and the Metropolitan District.
- A significant majority (73.23%) of respondents perform partial nephrectomy when indicated for renal masses.
- Most respondents (84.5%) utilize partial nephrectomy as a treatment for renal masses, with a notable percentage performing fewer than 4 radical nephrectomies annually.
Conclusions:
- Partial nephrectomy is widely practiced in Venezuela for renal mass treatment, prioritizing nephron preservation.
- Despite clear indications being maintained, laparoscopic techniques are not the predominant approach.
- The study highlights the current status and acceptance of kidney-sparing surgery within the Venezuelan urological population.
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