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在部分切除术后,脏瘤的皮肤化
Wojciech Krajewski1, Maciej Guziński2, Wojciech Tomczak3
1Department of Minimally Invasive and Robotic Urology, University Centre of Excellence in Urology, Wroclaw Medical University, Wrocław, Poland.
概括
透皮冷 (PCA) 为部分切除术 (PN) 后瘤复发提供了一种安全有效的治疗方法. 这种最少的侵入性方法显示出对手术后的质量管理具有最少的并发症的承诺.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 最少侵入性的手术
背景情况:
- 部分切除术 (PN) 是对质的标准,但存在局部复发的风险.
- 针对复发的重新操作具有挑战性,结果更差.
- 穿皮除疗法是一个可行的替代方案.
研究的目的:
- 评价通过皮肤冷移除 (PCA) 治疗PN后复发性或残留性瘤的经验.
- 评估PCA在先前手术脏中的可行性和有效性.
主要方法:
- 对接受PCA治疗的患者进行回顾性分析,以发现PN后瘤复发或残留疾病.
- 纳入标准不包括新生瘤或逆侧瘤.
- 收集的数据包括患者人口统计,手术史,瘤特征和结果.
主要成果:
- 23名患者接受PCA治疗,治疗PN后复发.
- PCA的中位时间间隔为23个月;平均RENAL得分为7.5;中位瘤体积为3毫升.
- 短期住院 (中位数为23小时);没有显著的GFR变化;并发症最小 (主要是I级).
结论:
- 图像引导的皮肤化 (PCA) 是一种可行且有效的治疗方法,用于部分切除术 (PN) 后瘤复发.
- PCA提供了一种安全的替代方案,并发症率低,功能保持良好.
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