Summary: International Kidney Cancer Symposium
Conclusions:
Ideal ischemia time is 20-25 minutes or less improves short and long term renal function. >25 minutes carried 5 year risk of new onset stage 4 CKD
No differences on GFR for cold vs. warm ischemia times
Preoperative GFR and the percent of kidney preserved was a better predictor of post op GFR.
No ischemia preserves renal function better than warm.
Longer cold ischemia times were equivalent to shorter warm ischemia times.
Quality and quantity of the remaining kidney is associated with ultimate renal function.
Robotics in RCC Surgery
Gennady Bratslavsky, MD
The opening question for this presentation was: is there a future for robotic PN?
At Society of Urologic Oncology (SUO) 2007 meeting there were no abstracts presented on robotic PN.
In 2009 there were 9 from 6 different institutions.
Now a search in pubmed will yield a more than two hundred abstracts
The use of robotics in RCC includes management of SRM, T1b disease, high nephrometry score management, management of multifocal and recurrent RCC as well as in locally advanced RCC.
In a comparison of treatment versus cost active surveillance carries a risk of progression, anxiety on behalf of the patient and frequent imaging to monitor status. Ablation procedures are carried out with less pain and scarring, less anxiety and functional loss, but imaging interpretation can be difficult and patients may progress despite treatment. Open or lap radical ne...
Source: Kidney Cancer Association - Category: Urology & Nephrology Source Type: news
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