РЕТРОПЕРИТОНЕОСКОПИЧЕСКАЯ РЕЗЕКЦИЯ С ПРЕДОПЕРАЦИОННОЙ СЕЛЕКТИВНОЙ ЭМБОЛИЗАЦИЕЙ И ФЛЮОРЕСЦЕНТНОЙ ВИЗУАЛИЗАЦИЕЙ СОСУДОВ ПРИ ОПУХОЛЕВОМ ПОРАЖЕНИИ ПОЧЕК: АНАЛИЗ ФУНКЦИОНАЛЬНЫХ РЕЗУЛЬТАТОВ

Y.V. Dumanskiy; S.O. Reshetniak S.O.; A.V. Maltsev; D.V.  Ievtushenko; F.I. Kulikova; I.V.  Kryzhanovskaya; A.Q. Kiriçenko; V.A. Syplyviy

doi:10.34921/amj.2022.4.008

Authors

Y.V. Dumanskiy Institute of Experimental Pathology, Oncology and Radiobiology of R. E. Kavetskiy
S.O. Reshetniak S.O. Training and Research Medical Complex «The University Clinic» of the Kharkiv National Medical University
A.V. Maltsev Xarkov Milli Tibb Universitetinin “Universitet Klinikası” Təhsil və Elmi Tibb Mərkəzi
D.V. Ievtushenko Training and Research Medical Complex «The University Clinic» of the Kharkiv National Medical University
F.I. Kulikova Dneprovsk State Medical University
I.V. Kryzhanovskaya Kharkiv Medical Academy of Postgraduate Education
A.Q. Kiriçenko State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of the Ministry of Health of Ukraine “Dnipro
V.A. Syplyviy Training and Research Medical Complex «The University Clinic» of the Kharkiv National Medical University

DOI:

https://doi.org/10.34921/amj.2022.4.008

Keywords:

kidney cancer, retroperitoneoscopic nephrectomy, selective preoperative embolization of renal vessels

Abstract

The article presents information on a comparative analysis of the functional state of the kidneys in 65 patients with local kidney cancer after standard open or laparoscopic kidney resection (I group – 40 man) and after retroperitoneoscopic resection with preoperative selective embolization (II group – 25 man). The functional state of the kidneys was examined in all patients at 1, 6 and 12 months after surgery by determination of the concentration of creatinine and urea in the blood serum, the measurement of the glomerular filtration rate, creatinine clearance, and urinary albumin excretion. The results of the study showed the high efficiency of retroperitoneoscopic resection with preoperative selective embolization and fluorescent visualization of vessels in local kidney tumors, which allows us to recommend the method for widespread use.