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SM ISO690:2012 ŢURCAN, Aurel, DANU, Sergiu, CIUBOTARU, Anatol. Surgical treatment of renal cancer with metastatic thrombus in magistral vessels. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 246. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 246-246 | ||||||
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Rezumat | ||||||
Background. Renal cancer remains the main problem among oncological pathologies, the rate varies from one country to another, with a higher rate in Scandinavia and North America, where about 50,000 of new cases appear every year. More than 100,000 patients are diagnosed in Europe annually. Objective of the study. To emphasize the importance of applying open surgical methods in renal cancers with metastatic thrombus in the main vessels and analysis of applied surgical techniques. Material and Methods. A retrospective study was performed in PMSI CRH “Timofei Mosneaga" Vascular Surgery Department between 2000-2021, where 36 patients diagnosed with renal cancer with ingrowth and metastatic thrombus in the main vessels (most commonly the inferior cava vein) underwent open surgical treatment. Results. The used surgical accesses- median laparatomy, Leclerc laparatomy, thoraco-phreno-lumbotomy, sterno-laparatomy. Thrombectomy from the main vessels and the reconstruction type for parietal defect were selected individually for each patient depending on the extent of the metastatic thrombus. All patients underwent radical nephrectomy, retroperitoneal lymphodissection, thrombectomy from the main vessels with parietal defect reconstruction. Histological examination determined clear cell renal carcinoma in all patients. The average length of hospitalization was 10 days. Conclusion. Nephrectomy and thrombectomy in renal cancer with metastatic thrombus in the main vessels can be performed safely with a high survival rate in the early postoperative period. The type of access and mobilization of the main vessels depends on the extension of the metastatic thrombus. |
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Cuvinte-cheie renal cancer, metastatic thrombus, inferior vena cava, cancer renal, tromb metastatic, vena cavă inferioară |
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