The capacity of computed tomography in preoperative determination of surgery volume in kidney tumors
K.T.Shakeyev1, 2, N.A.Kabildina2, A.S.Toksambaeva1, A.M.Zhumakaev1, A.Elubayuly1, S.V.Surmin1, Sh.S.Nuraly2, A.A.Kokimov2
1. Asfendiyarov Kazakh National Medical University, Almaty, the Republic of Kazakhstan;
2. JSC “Kazakh Institute of Oncology and Radiology,” Almaty, the Republic of Kazakhstan
Год: 2021 выпуск: 61 номер: 3 страницы: 15-20
Relevance: Computed tomography allows detecting small tumors. However, surgical tactics cannot always be determined
The purpose of the research was to assess the capacity of computed tomography in the preoperative determination of
surgery volume in kidney tumors.
Results: 548 patients were treated for kidney neoplasms. They were divided into three groups by computed tomography
based on the R.E.N.A.L. scale: with a high risk of complications – 265 patients (48.4%), medium risk – 107 (19.5%), and low risk – 176 (32.1%). All operations were performed in the planned volume depending on the identified risk group for complications and resectability of kidney neoplasms; no changes to the plan of surgical interventions were made. The preoperative assessment of the kidney angioarchitectonics and the tumor relation to the pyelocaliceal system and the organ parenchyma helped determine the surgery volume and the possibility for organ-reserving interventions in 283 patients and radical nephrectomy in 265 patients.
Conclusion: Such a highly informative method as computed tomography made allows early detection of small-sized kidney tumors to provide an opportunity for organ-preserving surgery and improved treatment outcome
Ключевые слова: Kidney cancer, computed tomography, nephrectomy, kidney resection.
Ссылка: K.T.Shakeyev, N.A.Kabildina, A.S.Toksambaeva, A.M.Zhumakaev, A.Elubayuly, S.V.Surmin, Sh.S.Nuraly, A.A.Kokimov. The capacity of computed tomography in preoperative determination of surgery volume in kidney tumors. Oncology and Radiology of Kazakhstan, 2021, 61 (3), 15-20.