KẾT QUẢ PHẪU THUẬT NỘI SOI SAU PHÚC MẠC CẮT THẬN TRIỆT CĂN ĐIỀU TRỊ UNG THƯ BIỂU MÔ TẾ BÀO THẬN TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: Describe the clinical and paraclinical characteristics of patients with renal cell carcinoma (RCC) and to evaluate the outcomes of retroperitoneal laparoscopic radical nephrectomy for the treatment of RCC at VietDuc University Hospital during the period 2019-2024. Material and method: Retrospective case series 107 patients with RCC who underwent retroperitoneal laparoscopic radical nephrectomy from January 2019 to June 2024. Results: The average age in the study was 55.9±13.2 years. The male-to-female ratio was 1.5:1. Symptoms at hospital admission: lumbar pain 51.4%, gross hematuria 17.76%, palpable mass 2.85%, and 2 patients with three symptoms, 51 patients were asymptomatic (47.7%). Systemic symptoms such as fever, weight loss, and anemia were observed in 2 patients (1.9%), 11 patients (10.3%), and 11 patients (10.3%). Tumors were located in the right and left kidneys in 49.5% and 50.5% of cases, respectively. On computed tomography (CT), the average tumor size was 52.1±16.7mm, 11.2% calcified tumors, no renal vein thrombosis. Classification: cT1bN0M0 56.1% and cT1aN0M0 23.4%. According to Clavien-Dindo classification, 88.8% of patients had good, 9.3% moderate, and 1.9% poor. Long-term follow-up: 4 patients were lost to follow-up, 3 cancer-related deaths (2.9%), 3 local recurrences (2.9%), 1 patient (0.97%) with brain and lung metastases. Conclusion: Renal cell carcinoma may not have obvious clinical manifestations. Retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma can be performed safely and effectively