UNG THƯ BIỂU MÔ TẾ BÀO THẬN GIAI ĐOẠN PT3A ĐƯỢC PHẪU THUẬT ROBOT CẮT THẬN TẬN GỐC: KINH NGHIỆM QUA 8 TRƯỜNG HỢP

Abstract

Introduction: To evaluate and analyze experience with robotic radical nephrectomy in the treatment of stage pT3a renal cell carcinoma at Binh Dan Hospital. Patients and methods: Designing a study to describe a series of cases, we selected all patients with stage T3a kidney tumors who were diagnosed by imaging or post - operative pathology at Binh Dan Hospital and underwent robotic radical nephrectomy during the period from December 2023 to December 2024. Results: Including 8 patients (5 men, 3 women), average age 60.5 years from 49 to 70. Average tumor size is 84 mm. Mean total surgery and docking times were 159 and 17 minutes, respectively. The average estimated blood loss was 112 ml and there were no cases requiring blood transfusion. During the peri - operative time, there were no major complications (Clavien ≥ 3), hospital stay was about 3.5 days. Pathological results were renal cell carcinoma pT3aN0M0, recorded: 3 cases of tumor thrombus in the renal vein, 3 cases of perinephric fat invasion, 2 cases of renal sinus fat invasion. Conclusion: We initially found that robot - assisted radical nephrectomy for stage pT3a kidney tumors is a safe and effective method. Given the perioperative results from the initial experience can be considered favorable. This study helps strengthen the evidence that robot - assisted radical nephrectomy is feasible, well applied and can be a promising alternative to classic laparoscopic or open surgery in treatment stage pT3a renal cell carcinoma or large renal tumors.