Autotransplantation of the kidney in surgery of retroperitoneal sarcomas
https://doi.org/10.23873/2074-0506-2017-9-2-118-124
Abstract
The paper presents the analysis of 5 clinical cases that demonstrate the potential of using organ-saving technologies in surgery of locally advanced retroperitoneal sarcomas. The clinical example shows step by step the technique of organ-preserving surgical intervention: an extended tumour nephrectomy followed by the extracorporeal precise dissection of the kidney from the tumor bulk with inducing a reversible pharmaco-cold ischemia and the isolated kidney autotransplantation into a heterotopic position with regard to intraoperative rapid cytology monitoring results. The article describes the characteristics of anesthesia, the early postoperative period, subsequent rehabilitation, and prophylactic medical screening of this group of patients.
About the Authors
R. I. Rasulov
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuous Professional Education
Irkutsk Regional Oncological Hospital
Russian Federation
Russian Federation
Dr. Med. Sci., Head of Surgical Department of Irkutsk Regional Oncological Hospital, Irkutsk, Russia
A. A. Muratov
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuous Professional Education
Irkutsk Regional Oncological Hospital
Russian Federation
Russian Federation
V. V. Dvornichenko
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuous Professional Education
Irkutsk Regional Oncological Hospital
Irkutsk State Medical University
Russian Federation
Russian Federation
D. D. Morikov
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuous Professional Education
Irkutsk Regional Oncological Hospital
Russian Federation
Russian Federation
Y. K. Batoroev
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuous Professional Education
Irkutsk Regional Oncological Hospital
Russian Federation
Russian Federation
G. I. Songolov
Irkutsk State Medical University
Russian Federation
Russian Federation
References
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Review
For citations:
Rasulov R.I., Muratov A.A., Dvornichenko V.V., Morikov D.D., Batoroev Y.K., Songolov G.I. Autotransplantation of the kidney in surgery of retroperitoneal sarcomas. Transplantologiya. The Russian Journal of Transplantation. 2017;9(2):118-124. https://doi.org/10.23873/2074-0506-2017-9-2-118-124
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