Jaganjac Suad, Schefe L, Avdagić Edin, Spahović Hajrudin, Hiros Mustafa
Eilbek Klinik, Hamburg, Germany.
Department of Radiology, Clinical center of Sarajevo University, Sarajevo, Bosnia and Herzegovina.
Acta Inform Med. 2014 Oct;22(5):302-5. doi: 10.5455/aim.2014.22.302-305. Epub 2014 Oct 29.
Preoperative kidney tumor embolization is standard procedure for therapy in advanced kidney cancer. Preoperative embolization has a goal to reduce intraoperative bleeding and also to shorten the time of surgery.
We retrospectively observed 50 patients between 2000-2011, in which the preoperative embolization was performed. Mean age of patients was 64 years. All patients with preoperative embolization were compared with the group of 51 patients from Urology Sarajevo, who underwent nephrectomy without preoperative embolization.
Symptoms that are dominating among patients were haematuria and pain. Analysis of mean size of tumors based on CT evaluation showed statistically significance in between the biggest size of tumors in group from Hamburg (9.11±3cm) and the smallest size of tumors in Sarajevo group (4.94±1.6cm) p=0.0001. Reason for this is difference in selection of patients for treatment in Hamburg from Sarajevo.
Kidney as functional finishing organ is extremely suitable for transcatheter therapeutic procedures. The gold standard in the treatment of advanced and metastatic tumor is the nephrectomy. As preparation for nephrectomy in metastatic cancer total capillary embolization is performed. After embolization, surgery is shorter, procedure can be done 24-48 hours after embolization or delayed nephrectomy done 2-3 weeks after the intervention.
术前肾肿瘤栓塞是晚期肾癌治疗的标准程序。术前栓塞的目的是减少术中出血并缩短手术时间。
我们回顾性观察了2000年至2011年间接受术前栓塞的50例患者。患者的平均年龄为64岁。所有接受术前栓塞的患者与萨拉热窝泌尿外科的51例未进行术前栓塞而接受肾切除术的患者组进行了比较。
患者中占主导地位的症状是血尿和疼痛。基于CT评估的肿瘤平均大小分析显示，汉堡组最大肿瘤大小（9.11±3cm）与萨拉热窝组最小肿瘤大小（4.94±1.6cm）之间具有统计学意义，p = 0.0001。原因是汉堡与萨拉热窝在患者治疗选择上存在差异。
肾脏作为功能性终末器官非常适合经导管治疗程序。晚期和转移性肿瘤治疗的金标准是肾切除术。对于转移性癌症的肾切除术准备，进行全毛细血管栓塞。栓塞后，手术时间缩短，可在栓塞后24 - 48小时进行手术，或在干预后2 - 3周进行延迟肾切除术。
