Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma

ObjectiveThe aim of this study is to summarize the surgical experience of renal artery cold perfusion combined with laparoscopic nephron preserving surgery for the treatment of complex renal angiomyolipoma and to evaluate the safety and feasibility of this surgical protocol.Materials and methodsClin...

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Main Authors: ChaoShuai Zhu, HuaQi Yin, ShiMing Zhao, YongKang Ma, ZhengHui Sun, MingKai Zhu, Zheng Du, Tiejun Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1220380/full
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author ChaoShuai Zhu
HuaQi Yin
ShiMing Zhao
YongKang Ma
ZhengHui Sun
MingKai Zhu
Zheng Du
Tiejun Yang
author_facet ChaoShuai Zhu
HuaQi Yin
ShiMing Zhao
YongKang Ma
ZhengHui Sun
MingKai Zhu
Zheng Du
Tiejun Yang
author_sort ChaoShuai Zhu
collection DOAJ
description ObjectiveThe aim of this study is to summarize the surgical experience of renal artery cold perfusion combined with laparoscopic nephron preserving surgery for the treatment of complex renal angiomyolipoma and to evaluate the safety and feasibility of this surgical protocol.Materials and methodsClinical data of nine patients who received renal artery cold perfusion combined with laparoscopic nephron preserving surgery for complex renal angiomyolipoma in our hospital from February 2017 to August 2020 were retrospectively analyzed. The study parameters included imaging findings, total renal function before and after surgery, glomerular filtration rate (GFR) of affected kidney before and after surgery, and related complications.ResultsEight of the nine patients successfully completed the operation, one patient was intolerant to renal artery balloon implantation, and the success rate of the operation was 88.89%. The mean maximum tumor diameter was 6.8 cm, and RENAL score was 7 points. Postoperative total renal function and GFR of the affected kidney had no significant changes compared with that before surgery, and imaging examination showed no tumor residue or recurrenceConclusionThis surgical procedure is safe and feasible for complex renal angiomyolipoma and can be used as a surgical option for renal hamartoma. The long-term effect needs to be confirmed by further studies.
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spelling doaj.art-9196faf316c3461ea05ff9f86e08bc452023-10-18T08:40:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-10-011310.3389/fonc.2023.12203801220380Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipomaChaoShuai ZhuHuaQi YinShiMing ZhaoYongKang MaZhengHui SunMingKai ZhuZheng DuTiejun YangObjectiveThe aim of this study is to summarize the surgical experience of renal artery cold perfusion combined with laparoscopic nephron preserving surgery for the treatment of complex renal angiomyolipoma and to evaluate the safety and feasibility of this surgical protocol.Materials and methodsClinical data of nine patients who received renal artery cold perfusion combined with laparoscopic nephron preserving surgery for complex renal angiomyolipoma in our hospital from February 2017 to August 2020 were retrospectively analyzed. The study parameters included imaging findings, total renal function before and after surgery, glomerular filtration rate (GFR) of affected kidney before and after surgery, and related complications.ResultsEight of the nine patients successfully completed the operation, one patient was intolerant to renal artery balloon implantation, and the success rate of the operation was 88.89%. The mean maximum tumor diameter was 6.8 cm, and RENAL score was 7 points. Postoperative total renal function and GFR of the affected kidney had no significant changes compared with that before surgery, and imaging examination showed no tumor residue or recurrenceConclusionThis surgical procedure is safe and feasible for complex renal angiomyolipoma and can be used as a surgical option for renal hamartoma. The long-term effect needs to be confirmed by further studies.https://www.frontiersin.org/articles/10.3389/fonc.2023.1220380/fullrenal artery cold perfusionlaparoscopic nephron preservationrenal angiomyolipomaGFRrenal artery balloon catheterization
spellingShingle ChaoShuai Zhu
HuaQi Yin
ShiMing Zhao
YongKang Ma
ZhengHui Sun
MingKai Zhu
Zheng Du
Tiejun Yang
Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
Frontiers in Oncology
renal artery cold perfusion
laparoscopic nephron preservation
renal angiomyolipoma
GFR
renal artery balloon catheterization
title Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
title_full Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
title_fullStr Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
title_full_unstemmed Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
title_short Clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
title_sort clinical study of renal artery cold perfusion combined with laparoscopic nephron retention in the treatment of complex renal angiomyolipoma
topic renal artery cold perfusion
laparoscopic nephron preservation
renal angiomyolipoma
GFR
renal artery balloon catheterization
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1220380/full
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