Possibilities and features of zero-ischemia nephron-sparing surgery in localized kidney cancer

Kidney cancer (KCa) is one of the greatest challenges in oncological urology due to increase morbidity and mortality rates annually. In treatment KCa, preservation renal function an important objective, addition achieving results. The article presents experience 175 KCa-patients pT1a – T2aN0M0 stages, who underwent nephron-saving surgery (NSS) with preventive hemostatic sutures. Functional outcomes NSS were studied groups without cross-linking (group 1; n = 150) pedicle 2; 25). resection prophylactic suturing has been shown allow removal a tumour almost any localisation. By avoiding during surgery, post-ischemic changes parenchyma are minimised. Thus, month after perfusion indexes 1 & 2 45.2 ± 3.0% vs 35.5 3.3%; 44.8 2.4% 39.1 1.4%; areas functioning 52.0 10.0% 35.0 9.0%, respectively.