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Journals / Van Tıp Dergisi / 2013 / Cilt: 20 - Sayı: 3

Surgical margin positivity: The comparison of open and laparoscopic radical nephrectomy

Cerrahi sınır pozitifliği: Açık ve laparoskopik radikal nefrektomi karşılaştırılması

Ahmet Murat BAYRAKTAR
Sedat TAŞTEMUR
Erkan ÖlÇÜCÜOĞLU
Mehmet Emin ŞİRİN
Serkan DOĞAN
Öner ODABAŞ
Pages
150–153
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: LRN represents a safe surgical option about surgical margin positivity for RCC patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Surgical removal is the gold standart treatment for renal cell carcinoma.
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Key Findings & Data:Methods: We retrospectively analayzed the data from 139 patients who underwent radical nephrectomy between January 2005 and August 2009.
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Conclusion & Impact:Conclusion: LRN represents a safe surgical option about surgical margin positivity for RCC patients.
🔬Design:Research Article
📍Scope:2005 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Surgical removal is the gold standart treatment for renal cell carcinoma. In recent years laparoscopic radical nephrectomy has taken the place of open radical nephrectomy. In this study we compared the surgical margin positivity between laparoscopic and open radical nephrectomy performed in our clinic. Methods: We retrospectively analayzed the data from 139 patients who underwent radical nephrectomy between January 2005 and August 2009. Open radical nephrectomy was performed through a subcostal incision. Laparoscopic nephrectomy was performed by use of the transperitoneal approach in all cases. Results: Ninety-four patients underwent open radical nephrectomy and 45 patients underwent laparoscopic radical nephrectomy . There were no statistically significant differences between the two groups in the patients’ demographical data and pathological specimen. The surgical margin positivity was observed in 5 of 94 cases (5.4%) at ORN group and none of the 45 cases in LRN group (p: 0.17). But this result was statistically incoherent. Conclusion: LRN represents a safe surgical option about surgical margin positivity for RCC patients.

Özet

Amaç: Renal hücreli karsinomun (RHK) altın standart tedavisi cerrahi olup son zamanlarda Laparoskopik Radikal Nefrektomi (LRN) Açık Radikal Nefrektominin (ARN) yerini almaktadır.Bu çalışmamızda kliniğimizde uygulanan LRN ile ARN'deki cerrahi sınır pozitifliğini karşılaştırdık. Gereç ve yöntem: Bu çalışmada Ocak 2005-Ağustos 2009 tarihleri arasında kliniğimizde RHK nedeniyle radikal nefrektomi yapılan 139 olgunun verileri retrospektif olarak incelendi. ARN’de subkostal insizyon yapılarak transperitoneal yaklaşım kullanılmıştır. LRN'de transperitoneal yaklaşım uygulanmıştır. Bulgular: Olguların 94’üne ARN, 45’ine LRN yapılmıştır. İki gruptaki hastaların demografik özelliklerinde ve patolojik spesimen özelliklerinde anlamlı farklılık bulunmamaktaydı. Cerrahi sınır pozitifliği ARN uygulanan 94 olgudan 5’inde (%5.3) görülürken LRN uygulanan 45 olgudan hiçbirinde cerrahi sınır pozitifliği görülmedi (p=0.17). Fakat aradaki fark istatistiksel olarak anlamlı değildi. Sonuç: LRN, cerrahi sınır pozitifliği yönünden RCC hastalarında güvenli bir cerrahi yöntemdir.

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Cite This Article

BAYRAKTAR, A. M., TAŞTEMUR, S., ÖlÇÜCÜOĞLU, E., ŞİRİN, M. E., DOĞAN, S., ODABAŞ, Ö. (2013). Surgical margin positivity: The comparison of open and laparoscopic radical nephrectomy. Van Tıp Dergisi, Cilt: 20 - Sayı: 3, 150–153. https://ajindex.com/articles/334185

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