Key result
Transarterial tumor embolization before zero-ischemia partial nephrectomy yields a 5% decline in split renal function.
Why the study?
Zero-ischemia laparoscopic partial nephrectomy after superselective transarterial tumor embolization for tumors with moderate nephrometry score had not been described with long-term oncologic and functional results.
Does superselective transarterial tumor embolization followed by zero-ischemia laparoscopic partial nephrectomy provide adequate oncologic and functional results in patients with renal tumors with moderate nephrometry scores?
Population
210 consecutive patients with renal tumors with nephrometry scores ≥ 6
Comparison
Superselective transarterial tumor embolization followed by zero-ischemia laparoscopic partial nephrectomy
Design
Single-center cohort study
Follow-up
Median 46 months
Authors
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Supports feasibility after embolization in moderate nephrometry tumors; leaves open need for randomized oncologic confirmation.
Cohort (n=210)
No
Does superselective transarterial tumor embolization followed by zero-ischemia laparoscopic partial nephrectomy provide adequate oncologic and functional results in patients with renal tumors with moderate nephrometry scores?
Superselective transarterial tumor embolization prior to laparoscopic partial nephrectomy allows for zero-ischemia tumor excision with excellent functional preservation and low complication rates.
Simone et al. (2011) conducted a cohort in Renal tumors with moderate nephrometry score (n=210). Superselective transarterial tumor embolization followed by zero-ischemia laparoscopic partial nephrectomy was evaluated on Oncologic and functional results. Superselective transarterial tumor embolization followed by zero-ischemia laparoscopic partial nephrectomy resulted in a median blood loss of 150 mL and a 5% median decrease in split renal function at 1 year.
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