La chirurgia conservativa renale nell'anziano: Kidney preserving surgery in the elderly

Conservative renal surgery has recently been extended to elderly patients who have decreased renal function and reduced survival rates in the case of dialytic treatment. Furthermore, age is no longer a limiting factor despite the increased anethesiological risk. Fifteen cases of renal neoplasm in patients over 70, who had undergone conservative surgery, were reviewed: 14 are alive and disease-free after 14-135 months and 1 died from unrelated causes. It is concluded that conservative renal surgery has a role even in the elderly.

[1]  M. Meng,et al.  Partial nephrectomy: technique, complications and pathological findings. , 1995, The Journal of urology.

[2]  A. Novick,et al.  Nephron sparing surgery in incidental versus suspected renal cell carcinoma. , 1994, The Journal of urology.

[3]  Lopatkin Na,et al.  [The choice of the treatment method in kidney cancer in middle-aged and elderly patients]. , 1994, Urologiia i nefrologiia.

[4]  E. Becht,et al.  Kidney preserving surgery in renal cell tumors: indications, techniques and results in 152 patients. , 1993, The Journal of urology.

[5]  N. Iizuka,et al.  Clinical study of patients with renal carcinoma surviving for more than 10 years after nephrectomy. , 1992, British journal of urology.

[6]  M. Stöckle,et al.  Conservative surgery of renal cell tumors in 140 patients: 21 years of experience. , 1992, The Journal of urology.

[7]  L. Baert,et al.  Is there a place for conservative surgery in the treatment of renal carcinoma? , 1991, British journal of urology.

[8]  H. Zincke,et al.  Progression and survival after renal-conserving surgery for renal cell carcinoma: experience in 104 patients and extended followup. , 1990, The Journal of urology.

[9]  J. Montie,et al.  Conservative surgery for renal cell carcinoma: a single-center experience with 100 patients. , 1989, The Journal of urology.

[10]  E. Ljunggren Prognosis of renal tuberculosis treated by nephrectomy. , 1952, The Journal of urology.

[11]  G. Bianchi,et al.  L'enucleazione come trattamento di scelta delle neoplasie renali di basso stadio e grado , 1992 .

[12]  G. Bianchi,et al.  Trattamento chirurgico conservativo delle neoplasie renali , 1989 .

[13]  M. Mclachlan Anatomic structural and vascular changes in the aging kidney , 1987 .