Resultados Perioperatorios de Nefrectomia parciales en Panamá
NEFRECTOMIA RADICAL PARA TUMORES T2-T3rvmaiseventos.com.br/encontrosudeste/aulas/dia 14/11h00 -...
Transcript of NEFRECTOMIA RADICAL PARA TUMORES T2-T3rvmaiseventos.com.br/encontrosudeste/aulas/dia 14/11h00 -...
RODRIGO FROTA TiSBU Cirurgia Robotica Urologica ndash Hospital SamaritanoRJ
Fellow Laparoscopia e Cirurgia Robotica ndash Cleveland Clinic
NEFRECTOMIA RADICAL PARA TUMORES T2-T3
NEFRECTOMIA PARCIAL TNM
NEFRECTOMIA PARCIAL TNM
NEFRECTOMIA PARCIAL T3
- 4 a 10 dos RCC diagnosticados jaacute com trombo venoso - cirurgia - tratamento mais eficaz - 45 a 70 dos pacientes curaacuteveis com a nefrectomia + trombectomia
NEFRECTOMIA PARCIAL TNM
pT2 (95cm) pT3b
NEFRECTOMIA PARCIAL ABERTA X LAPAROSCOPICA Robotic
Lap
Open
ADVANTAGES -Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
- Enhanced visibility of vital structures (ie NVB) - Superior ergonomics for the primary surgeon - Shorter learning curve compared to LRP
-Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
-Enhanced visibility of vital structures (ie NVB)
- Lower cost compared to RALP
- Proven oncological Outcomes -Tactile feedback
- No additional training
DISADVANTAGES -No long-term oncological data
- High initial and procedural cost -
-No long-term oncological data
- Steep learning curve-
-Increased blood loss
- Increased length of catheterization
Frota et al Int Brz J Urol June 2008 Vol 84
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL TNM
NEFRECTOMIA PARCIAL TNM
NEFRECTOMIA PARCIAL T3
- 4 a 10 dos RCC diagnosticados jaacute com trombo venoso - cirurgia - tratamento mais eficaz - 45 a 70 dos pacientes curaacuteveis com a nefrectomia + trombectomia
NEFRECTOMIA PARCIAL TNM
pT2 (95cm) pT3b
NEFRECTOMIA PARCIAL ABERTA X LAPAROSCOPICA Robotic
Lap
Open
ADVANTAGES -Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
- Enhanced visibility of vital structures (ie NVB) - Superior ergonomics for the primary surgeon - Shorter learning curve compared to LRP
-Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
-Enhanced visibility of vital structures (ie NVB)
- Lower cost compared to RALP
- Proven oncological Outcomes -Tactile feedback
- No additional training
DISADVANTAGES -No long-term oncological data
- High initial and procedural cost -
-No long-term oncological data
- Steep learning curve-
-Increased blood loss
- Increased length of catheterization
Frota et al Int Brz J Urol June 2008 Vol 84
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL TNM
NEFRECTOMIA PARCIAL T3
- 4 a 10 dos RCC diagnosticados jaacute com trombo venoso - cirurgia - tratamento mais eficaz - 45 a 70 dos pacientes curaacuteveis com a nefrectomia + trombectomia
NEFRECTOMIA PARCIAL TNM
pT2 (95cm) pT3b
NEFRECTOMIA PARCIAL ABERTA X LAPAROSCOPICA Robotic
Lap
Open
ADVANTAGES -Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
- Enhanced visibility of vital structures (ie NVB) - Superior ergonomics for the primary surgeon - Shorter learning curve compared to LRP
-Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
-Enhanced visibility of vital structures (ie NVB)
- Lower cost compared to RALP
- Proven oncological Outcomes -Tactile feedback
- No additional training
DISADVANTAGES -No long-term oncological data
- High initial and procedural cost -
-No long-term oncological data
- Steep learning curve-
-Increased blood loss
- Increased length of catheterization
Frota et al Int Brz J Urol June 2008 Vol 84
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL T3
- 4 a 10 dos RCC diagnosticados jaacute com trombo venoso - cirurgia - tratamento mais eficaz - 45 a 70 dos pacientes curaacuteveis com a nefrectomia + trombectomia
NEFRECTOMIA PARCIAL TNM
pT2 (95cm) pT3b
NEFRECTOMIA PARCIAL ABERTA X LAPAROSCOPICA Robotic
Lap
Open
ADVANTAGES -Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
- Enhanced visibility of vital structures (ie NVB) - Superior ergonomics for the primary surgeon - Shorter learning curve compared to LRP
-Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
-Enhanced visibility of vital structures (ie NVB)
- Lower cost compared to RALP
- Proven oncological Outcomes -Tactile feedback
- No additional training
DISADVANTAGES -No long-term oncological data
- High initial and procedural cost -
-No long-term oncological data
- Steep learning curve-
-Increased blood loss
- Increased length of catheterization
Frota et al Int Brz J Urol June 2008 Vol 84
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL TNM
pT2 (95cm) pT3b
NEFRECTOMIA PARCIAL ABERTA X LAPAROSCOPICA Robotic
Lap
Open
ADVANTAGES -Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
- Enhanced visibility of vital structures (ie NVB) - Superior ergonomics for the primary surgeon - Shorter learning curve compared to LRP
-Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
-Enhanced visibility of vital structures (ie NVB)
- Lower cost compared to RALP
- Proven oncological Outcomes -Tactile feedback
- No additional training
DISADVANTAGES -No long-term oncological data
- High initial and procedural cost -
-No long-term oncological data
- Steep learning curve-
-Increased blood loss
- Increased length of catheterization
Frota et al Int Brz J Urol June 2008 Vol 84
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL ABERTA X LAPAROSCOPICA Robotic
Lap
Open
ADVANTAGES -Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
- Enhanced visibility of vital structures (ie NVB) - Superior ergonomics for the primary surgeon - Shorter learning curve compared to LRP
-Decreased blood loss
-Faster recovery
-Better cosmetic results
-Decreased hospital stay
-Enhanced visibility of vital structures (ie NVB)
- Lower cost compared to RALP
- Proven oncological Outcomes -Tactile feedback
- No additional training
DISADVANTAGES -No long-term oncological data
- High initial and procedural cost -
-No long-term oncological data
- Steep learning curve-
-Increased blood loss
- Increased length of catheterization
Frota et al Int Brz J Urol June 2008 Vol 84
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
Berger AD Kanofsky JA OMalley RL Hyams ES Chang C Taneja SS Stifelman MD
Department of Urology New York University School of Medicine New York Urology 2008 Mar71(3)421-4
- Total 164 pact - 124 lt 7-cm e 40 (322) gt=7 cm - Tamanho 42 cm (18 - 69) x 92 cm (7 ndash 14) - Resultados cirurgicos e oncologicos semelhantes
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
Conley SP Humphreys MR Desai PJ Castle EP Dueck AC Ferrigni RG Andrews PE
Department of Urology Mayo Clinic Phoenix Arizona J Endourol 2009 Jan23(1)57-61
- 11 ( 3 n = 360) 2000 - 2007 - 170 min (80-240 min) - Perda sanguinea 150 mL (50-300 mL) - 2 complicaccedilotildees (IRA e Ileo) - Tamanho 12 cm (10-21 cm) - 5 (455) pT2 3 (273) pT3a 2 ( 181)p T3b1 (91)pT4
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL
bull T2 aberto (n=72) x T2 laparoscoacutepico (n=41) bull demograacuteficos comparaacuteveis bull Laparoscoacutepico lt perda sanguiacutenea lt analgesia
lt internaccedilatildeo tempo ciruacutergico 15min gt bull seguimento meacutedio 45 anos resultados
oncologicos semelhantes
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL
bull laparoscopia pura transperitoneal bull usg peroperatoacuterio bull 5 pacientes 119 minutos 150ml bull Grampeador
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
Berger A Brandina R Atalla MA Herati AS Kamoi K Aron M Haber GP Stein RJ Desai MM Kavoussi LR Gill IS USC Institute of Urology Keck School of Medicine University of Southern California Los Angeles California
J Urol 2009 Nov182(5)2172-6
- 73 NRL (Fev 1994 Marc 1999) - Follow up 112 anos ( 10-15) - Tu 5 cm (17 to 13) - pT1a ( 41) pT1b (30) - pT2(15) pT3a(10) pT3b (3) pT4 (1) - Sobrevida Ca especifica 92
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
Martin GL Castle EP Martin AD Desai PJ Lallas CD Ferrigni RG Andrews PE Department of Urology Mayo Clinic Phoenix Arizona USA
J Endourol 2008 Aug22(8)1681-5
- Total 14 pact (pT3b) em 7 anos ( 2000-2007) - 10 (VR) 4 (VCI) - 1 conversatildeo ( margem + VR) - Uso pinca vascular e Hand Assisted - Seguro e Factivel =gt experiecircncia laparoscoacutepica
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL T3b
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL T3b
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
bull 5 pacientes bull ateacute 5cm de trombo em
cava bull cavotomia em todos bull 170ml 327min
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL
Urology 2013 in press
- 2002 a 2010 5 centros italianos 222 nx lap T2 - 85cm 180min 280ml - transfusatildeo 19 - conversatildeo 54 - complicaccedilotildees Clavien 3 ou 4 27
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL Experiencia Pessoal
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL T2 T 4
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL Experiencia Pessoal
Tamanho Tumoral 12 cm Tempo Operatoacuterio 3 hr 20 min Tempo Internaccedilatildeo 3 dias
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL MENSAGEM
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-
NEFRECTOMIA PARCIAL OBRIGADO
rodrigofrotafgmailcom wwwrodrigofrotanet
- NEFRECTOMIA RADICAL PARA TUMORES T2-T3
- TNM
- TNM
- T3
- TNM
- ABERTA X LAPAROSCOPICA
- Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses
- Laparoscopic radical nephrectomy for very large renal tumors (gt or =10 cm) is there a size limit
- Laparoscopic radical nephrectomy for renal cell carcinoma oncological outcomes at 10 years or more
- Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus seven-year experience
- T3b
- T3b
- Slide Number 15
- Slide Number 16
- Experiencia Pessoal
- T2 T 4
- Experiencia Pessoal
- MENSAGEM
- OBRIGADO
-