Новые возможности органосохраняющего лечения локализованного почечно-клеточного рака и его рецидивы

Автор: Gennady Bratslavsky, Ronald Boris

Журнал: Злокачественные опухоли @malignanttumors

Рубрика: Достижения в хирургическом лечении

Статья в выпуске: 1 т.1, 2011 года.

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Последнее десятилетие было ознаменовано более глубоким пониманием молекулярных путей, ответственных за развитие почечно-клеточного рака (ПКР), достижениями в системном лечении диссеминированного ПКР, а также многочисленными дискуссиями по поводу выбора наиболее оптимального варианта лечения локализованных форм опухоли. Учитывая многочисленные данные о развитии почечной недостаточности после хирургического лечения, а также возрастающее количество пациентов с ранними стадиями ПКР, важность органосохраняющего лечения нельзя недооценивать. Несмотря на отсутствие рандомизированных исследований, сравнивающих эффективность органосохраняющего лечения и радикальной нефрэктомии при ПКР, многочисленные ретроспективные данные указывают на сопоставимую эффективность обоих лечебных подходов при лучших показателях функции почек в случае органосохраняющего лечения. Поэтому органосохраняющее лечение все чаще используется как для открытых, так и для малоинвазивных хирургических вмешательств. В данном обзоре будут представлены данные, подтверждающие необходимость органосохраняющего лечения при ПКР, и описаны новые возможности метода, включая лапароскопические методики с участием роботизированной техники, аблацию и повторные хирургические вмешательства на почке.

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Резекция почки, органосохраняющее хирургическое лечение, роботизированная техни- ка, аблация образований в почке, рецидив почечно-клеточного рака

Короткий адрес: https://readera.ru/14045399

IDR: 14045399

Список литературы Новые возможности органосохраняющего лечения локализованного почечно-клеточного рака и его рецидивы

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