Page 25 - WALS Journal

Lucevich OE, Kamilov EV

C
Stage of processing kidneys vessels
Figs 1A to C B
At HALRN middle operative time has made 108.6 ± 10.3
minute, with middle blood loss 125.4 ± 15.2 ml. The length of a
operational cut has on the middle made 6.7 ± 0.6 sm. Duration of
time invalidity has made 17.6 ± 5.2 day. Middle stay of the
patient in hospital has 7.8 ± 1.6 made day.
After ORN drainages established in a box of a kidney deleted
on the average on 3. 4 ± 0.8 day, and after LRN and HALRN
accordingly on 1.1 ± 0.2 and 1.3 ± 0.5 day after operation.
After ORN are noted next complications: at 47 (39.2%)
patients infringement of skin sensitivity in the field of
postoperation traces, at 29 (24.2%) asymmetry of a forward
belly wall and 6 (5%) patients postoperation abdominal hernia.
After LRN and HALRN in the postoperative period of patients’
complications it is noted.

C

Figs 2A to C: (A and B) Hand” carries out mobilization of kidney,
facilitating stage clips on kidneys, arteries, veins and mobilization of
Urethra. (C) Extraction of a kidney through Hand-port

Conclusions: LRN and HALRN at a cancer of a kidney is the
radical and quite justified intervention allowing essentially
improving direct results of surgical treatment and quality of a
life of the patient in remote terms.
Advantages LRN and HALRN are: good cosmetic effect,
smaller blood loss, reduction of time of stay in a hospital and
the general disability.
LRN and LRN provides good results even at III (T3N0-
1M0) stages of a cancer of a kidney that is caused by an
opportunity of performance total lymphadenectomy and
A reduction trauma fabrics during surgical intervention.

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