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Dergiler / Endoüroloji Bülteni / 2026 / Cilt: 12 Sayı: 1

T1a/T1b Evre Renal Tümörlerde Laparoskopik Parsiyel Nefrektomi: Biz Neredeyiz?

Laparoscopic Partial Nephrectomy in T1a/T1b Stage Renal Tumors: Where We Are?

Mehmet Salih Boğa(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Murat Savaş(Department of Urology, Memorial Hospital, Antalya, Turkey.)
Mahmut Ekrem İslamoğlu(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Mehmet Giray Sönmez(Department of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.)
Kayhan Yılmaz(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Mahmut Taha Ölçücü(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Kaan Kıramık(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Çağatay Özsoy(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Mutlu Ateş(Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey)
Sayfa
24–30
Yayın Tarihi
2020-01-30
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Çalışmaya 42 hasta dahil edildi.

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Amaç & Hipotez:Amaç: T1a / T1b evre böbrek tümörlerinde laparoskopik parsiyel nefrektomi yapılan hastalara ait (LPN) demografik verileri, perioperatif ve postoperatif sonuçları rapor etmeyi amaçladık.
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Temel Bulgular & Veri:Gereç ve Yöntem: Retrospektif olarak Mayıs 2015 - Ekim 2018 arasında normal kontralateral böbreği olan ve LPN yapılan 60 hasta değerlendirildi.
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Sonuç & Katkı:Bulgular: Çalışmaya 42 hasta dahil edildi.
🔬Tür:Deneysel Tarla Denemesi
📍Kapsam:2015 · 60 hasta
⚙️Değişkenler:laparoskopik parsiyel nefrektomi · minimal invaziv cerrahi · böbrek tümörü

Özet

Amaç: T1a / T1b evre böbrek tümörlerinde laparoskopik parsiyel nefrektomi yapılan hastalara ait (LPN) demografik verileri, perioperatif ve postoperatif sonuçları rapor etmeyi amaçladık. Gereç ve Yöntem: Retrospektif olarak Mayıs 2015 - Ekim 2018 arasında normal kontralateral böbreği olan ve LPN yapılan 60 hasta değerlendirildi. Demografik, perioperatif ve postoperatif sonuçlar literatür ile değerlendirildi ve tartışıldı. Bulgular: Çalışmaya 42 hasta dahil edildi. Ortalama yaş, tümör boyutu ve RENAL skorları sırasıyla 60.52 (± 10.51), 3.58 (± 1.55) cm ve 6.548 (± 1.17) idi. Sıcak iskemi süresi 26,88 (± 6,27) dakika idi. Ortalama ameliyat süresi, tahmini kan kaybı, hastanede kalış süresi, 162.26 (± 38.97) dk, 166.79 (± 98.32) mL ve 3.45 (± 0.89) gündü. Preoperatif ve postoperatif tahmini glomerüler filtrasyon hızı (eGFR) sırasıyla 76.83 (± 18.36) ve 71.93 (± 20,12) mL / dak / 1.73 m2 idi. eGFR azalması ameliyat sonrası 3 ayda 4.9 (% 6.38) mL / dak / 1.73 m2 idi. Postoperatif komplikasyon oranı, cerrahi sınır durumu ve eGFR azalması literatür ile benzer olarak bulundu. Ortalama takip süresi 21.02 (± 13.26) aydı. Sonuç: Her ne kadar LPN uzun bir öğrenme eğrisine sahip olsa da, seçilmiş renal tümör vakalarında mükemmel onkolojik ve fonksiyonel sonuçlarla kabul edilebilir komplikasyon oranları ile uygulanabilen güvenli bir PN yöntemidir.

Abstract

Aim: To report the demografics, operative and postoperative outcomes of laparoscopic partial nephrectomy (LPN) in T1a/T1b stage renal tumors. Matherials and Methods: In total of 60 patients were evaluated, retrospectively who underwent LPN with a normal contralateral kidney, between May 2015 and October 2018. Demographics, perioperative and postoperative outcomes were evaluated and discussed with the literature. Result: 42 patients were included in the study. The mean age, tumor size and RENAL scores were 60.52 (± 10.51) years, 3.58 (± 1.55) cm and 6.548 (± 1.17), respectively. The duration of warm ischemia time was 26,88 (± 6,27) minutes. The mean operative time, estimated blood loss, length of hospital stay time were 162.26 (± 38.97) min, 166.79 (± 98.32) mL and 3.45 (± 0.89) days, respectively. Preoperative and postoperative estimated glomerular filtration rate (eGFR) were 76.83 (± 18.36) and 71.93 (± 20,12) mL/min/1.73 m2, respectively. eGFR decrease was 4.9 (6.38%) mL/min/1.73 m2 at the 3 months postoperative. The rate of postoperative complications, surgical margin status and eGFR decrease were similer to literature. The mean follow-up time was 21.02 (± 13.26) months. Conclusion: Although LPN has long learning curve, it is a safe PN method that can be applied in selected renal tumor cases with excellent oncological and functional results with acceptable complication rates.

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Bu Makaleye Atıf Yap

Boğa, M. S., Savaş, M., İslamoğlu, M. E., Sönmez, M. G., Yılmaz, K., Ölçücü, M. T., Kıramık, K., Özsoy, Ç., Ateş, M. (2020). T1a/T1b Evre Renal Tümörlerde Laparoskopik Parsiyel Nefrektomi: Biz Neredeyiz?. Endoüroloji Bülteni, Cilt: 12 Sayı: 1, 24–30. https://ajindex.com/articles/1479131

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