laparoscopic partial nephrectomy for central tumors
DESCRIPTION
Analysis of Perioperative Outcomes and ComplicationsTRANSCRIPT
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INTRODUÇÃO
• Os autores publicaram a experiência do
grupo com a realização de nefrectomias
parciais para tratamento de tumores
centrais do rim comparado com NP em
tumores periféricos
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PARÂMETROS ANALIZADOS
• Abordagem cirúrgica
• Segurança
• Complicações
• Comparação dos parâmetros - Pré-operatório
- Intra-operatório
- Pós-operatório
• Qualidade da excisão cirúrgica / margens positivas
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Material e Método
• Período outubro 2002 a julho 2007
• Pacientes 212
• Tumor central 53
• Tumor periférico 159
• Tumores centrais - idade média 56a
• Tumores periféricos - idade média 65a
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PARÂMETROS INTRA-OPERATÓRIOS
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PARÂMETROS PÓS-OPERATÓRIOS
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DISCUSSÃO / CONCLUSÕES
• Habilidade da equipe cirúrgica
• Cirurgias seguras
• Taxas de complicações similares
• Tendência de aumento / isquemia / central
• Sangramento pós-operatório / central
• Completa excisão tumoral
• Desafios / margens cirúrgicas
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OBRIGADO !