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| 1 | Small renal masses in kidney transplantation:Overview of clinical impact and management in donors and recipients显示文摘Kidney transplantation is the best replacement treatment for the end-stage renal disease.Currently,the imbalance between the number of patients on a transplant list and the number of organs available constitutes the crucial limitation of this approach.To expand the pool of organs amenable for transplantation,kidneys coming from older patients have been employed;however,the combination of these organs in conjunction with the chronic use of immunosuppressive therapy increases the risk of incidence of graft small renal tumors.This narrative review aims to provide the state of the art on the clinical impact and management of incidentally diagnosed small renal tumors in either donors or recipients.According to the most updated evidence,the use of grafts with a small renal mass,after bench table tumor excision,may be considered a safe option for high-risk patients in hemodialysis.On the other hand,an early small renal mass finding on periodic ultrasound-evaluation in the graft should allow to perform a conservative treatment in order to preserve renal function.Finally,in case of a renal tumor in native kidney,a radical nephrectomy is usually recommended. | Alberto Piana Iulia Andras Pietro Diana Paolo Verri Andrea Gallioli Riccardo Campi Thomas Prudhomme Vital Hevia Romain Boissier Alberto Breda Angelo Territo | 2022 | Asian Journal of Urology2022，9，3： | 0 |
| 2 | 保留肾单位对T1b期肾肿瘤远期疗效的影响显示文摘目的观察后腹腔镜下保留肾单位手术对T1b期肾肿瘤患者远期疗效的影响。方法70例T1b期肾肿瘤患者,根据治疗方法不同分为对照组与观察组。对照组51例,接受后腹腔镜下根治性肾切除术治疗;观察组19例,接受后腹腔镜下保留肾单位手术治疗。随访观察血清尿素氮、血肌酐水平、生存及复发情况。结果两组术后24小时血清尿素氮(BUN)、血肌酐(Scr)水平较术前明显升高,术后1天、术后1年、术后2年观察组血清BUN、Scr水平显著低于对照组(P<0.05)。两组复发率、死亡率差异无统计学意义(P>0.05)。结论后腹腔镜下保留肾单位手术治疗T1b期肾肿瘤,远期肾功能保存效果优于根治性肾切除术。 | 郑元财 汤禹钒 谢辉 | 2020 | 浙江创伤外科2020，25，3： | 0 |
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