Analysis of laparoscopic radical nephrectomy for renal cell carcinoma patients with end stage kidney disease requiring hemodialysis
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- Takagi Toshio
- Department of Urology, Tokyo Women’s Medical University
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- Kondo Tsunenori
- Department of Urology, Tokyo Women’s Medical University
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- Iizuka Jyunpei
- Department of Urology, Tokyo Women’s Medical University
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- Kobayashi Hirohito
- Department of Urology, Tokyo Women’s Medical University
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- Hashimoto Yasunobu
- Department of Urology, Tokyo Women’s Medical University
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- Nakazawa Hayakazu
- Department of Urology, Tokyo Women’s Medical University, Medical Center East
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- Ito Fumio
- Department of Urology, Tokyo Women’s Medical University, Medical Center East
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- Tanabe Kazunari
- Department of Urology, Tokyo Women’s Medical University
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Introduction and objectives:To examine the safety and feasibility of laparoscopic radical nephrectomy in ESRD patients requiring hemodialysis with renal cell carcinoma. <br> Materials and methods:One hundred and seventeen HD patients who underwent radical nephrectomy for renal cell carcinoma were the subjects of this study. One hundred and thirty nine laparoscopic radical nephrectomies were performed on 95 patients with unilateral RCC and 22 patients with bilateral RCC. <br> Results:The transperitoneal and retroperitoneal approaches were selected in 10(7%)and 129(93%), respectively. Eleven of 139 cases(8%)had perioperative and postoperative complications including A-V thrombotic occlusion in 2, intestinal damage in 2, local recurrence at removed kidney site in 2 and acute myocardial infarction, leakage of lympho fluid, hypercarcemia, angiocholitis, and pancreatitis each in 1. Ten cases(7%)were converted to open surgery. <br> Conclusions:HD patients sometimes suffer unexpected complications as they often present with multiple comorbidities. It is necessary to examine these patients closely during the perioperative period.
収録刊行物
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- Japanese Journal of Endourology
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Japanese Journal of Endourology 24 (2), 271-275, 2011
日本泌尿器内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282680485903232
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- NII論文ID
- 130005003574
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- NII書誌ID
- AA12524434
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- ISSN
- 21874700
- 21861889
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- NDL書誌ID
- 023686270
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可