On July 27, 2021, the team of Professor Feng Jiayu from the Department of Urology of our hospital completed the first laparoscopic partial nephrectomy for a young patient with renal tumor, marking the progress of our hospital in the field of nephrectomy surgery. Minimally invasive, low damage has taken a solid step.
Left upper pole ventral tumor
Imaging findings of this patient indicate that the tumor is located on the ventral side of the suprarenal pole, adjacent to adrenal gland, and this area is adjacent to the large vessels of renal hilum, if the tumor is removed And damage to these blood vessels during the suture process will not only cause accidental bleeding and increase the difficulty of the operation, but also may make it impossible to perform kidney-saving surgery.
The team of Professor Feng Jiayu of Urology conducts preoperative discussion
In order to completely remove the tumor and protect the patient’s kidney function as much as possible, Professor Feng organized all medical staff in the department to conduct a sufficient preoperative discussion and based on the patient’s medical history , Physical examination, auxiliary examination, combined with imaging data to study the patient's anatomical characteristics, and prepare a series of pre-plans for the situations that may be encountered during the operation.
Professor Feng is performing fine operations during the operation
Professor Feng personally leads the team to perform fine operations during the operation, carefully but accurately separating the renal artery, vein, freeing the upper pole of the kidney and tumor, blocking the renal artery , The tumor was successfully and completely resected, and the suture of the excision wound was successfully completed with the suprarenal pole upside down. It is worth noting that the warm ischemia time during this operation was only 17 minutes, that is to say, the whole process from blocking the artery, removing the tumor, and suturing the kidney wound took only 17 minutes. Since too long warm ischemia time can bring irreversible functional damage to the patient's kidney function, shortening the warm ischemia time is of great significance to the patient's postoperative recovery and postoperative renal function protection. I praised Professor Feng's team.
District Second Hospital Renal Tumor New breakthrough in personalized and systematic treatment technology
Renal tumor is a mass formed by the malignant growth of cells in the kidney.The scientific name is renal cell carcinoma . Patients with early-stage kidney tumors usually have no symptoms, and a small number of advanced-stage patients may have low back pain, abdominal masses, or hematuria. Once kidney tumors are found, urologists can determine the clinical stage of the disease based on imaging examinations. The urologist will work out the best comprehensive treatment plan based on the benign and malignant possibility and stage of the tumor.
Compared with traditional surgery, which requires quite long and deep wounds, the laparoscopic surgery method not only bleeds less, recovers quickly, and reduces the number of days of hospitalization. At present, the precise treatment of tumors preserves the kidney of nephron Partial resection is more and more performed. Patients with early renal tumors do not have to remove the entire kidney, but only remove the tumor. Of course, performing this type of partial nephrectomy requires very high requirements on the surgeon. Professor Feng Jiayu of our hospital has many successful clinical cases and has completed more than 600 surgical treatments of renal tumors, including laparoscopic radical nephrectomy, partial nephrectomy, and the more difficult Da Vinci robot under the complex kidney part Resection, worktable nephrectomy, and removal of renal tumor thrombus at grade 2 and 3 of the vena cava, etc. The operation was successfully completed under the auspices of the team led by Professor Feng Jiayu.
Learn about kidney tumors and treatment methods
Renal tumors are one of the common tumors of the human genitourinary system. About 95% of kidney tumors are malignant, and benign ones are rare. Hematuria, intra-abdominal lumps and waist pain are the three main symptoms of the late stage of the disease. Most of the patients are due to asymptomatic kidney tumors found during physical examination, and these patients account for more than 50% to 60% of the total number of patients with kidney tumors. Most of them are found during physical examinations of asymptomatic patients, while the most common symptoms in patients with symptomatic kidney tumors are low back pain and hematuria, and a few patients come to the hospital with abdominal masses.
After discovering a kidney tumor, you should first go to the urology department to further clarify the nature of the tumor. Depending on the nature of the tumor, there are different treatment options:
1. Benign tumors
less than 4cm may not be treated.Enucleation or partial nephrectomy is possible for larger tumors. Nephrectomy may be considered for larger tumors, damaged kidney structure, and loss of function.
2. Various types of renal malignancies
Surgery-based treatment is used for patients with localized or locally advanced (early or mid-term) renal cancer, and metastatic renal cancer (advanced) should be treated with surgery Comprehensive treatment based on internal medicine.
Surgical treatment of kidney cancer is usually the first choice, and it is currently recognized as a cure for kidney cancer. Nephron-sparing surgery (kidney-sparing surgery: partial nephrectomy) or radical nephrectomy can be used for patients with early-stage renal cancer. These operations can be performed using laparoscopic surgery or traditional open surgery. Radical nephrectomy is usually used for patients with mid-stage renal cancer.
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