Prevention of Complications of Nephron-sparing Kidney Resections

Purpose of the study: compare the results of resection of a kidney tumor and radical nephrectomy in patients with kidney formation.Secondary purpose of the study: to assess the importance of the nephrotomy index in determining the risk of complications, the role of preventive embolization of the vessels of the kidney tumor before removal of the kidney tumor.Methods. The study performed a comparative analysis of the results of surgical treatment of 114 kidney cancer patients with T1-3a NoMo. The main group included 57 patients who underwent open or laparoscopic resection of the kidney parenchyma tumor. The control group consisted of 57 patients (50.0%) after radical nephrectomy.Results. The study found that adequate nephron-sparing resection of the kidney tumor, compared with radical nephrectomy, does not worsen the overall survival of patients with kidney cancer, but at the same time reduces the risk of CPD progression.Conclusions. Organ-preserving resection of a kidney tumor is a complex operation. Its goal is to preserve ablasticity and more nephrons in order to increase the survival and quality of life of kidney cancer patients. Preventive embolization of renal tumor vessels and the use of nephrometric scales can reduce the risk of complications during tumor removal.Keywords. resection, kidney tumor, nephrometric index, laparoscopy.