コンドウ ツネノリ   Kondou Tsunenori
  近藤 恒徳
   所属   医学部 医学科(附属足立医療センター)
   職種   教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Surgical and Oncologic Outcomes of Laparoscopic Radical Nephrectomy for Non-Metastatic Renal Cancer in Long-Term Dialysis Patients.
掲載誌名 正式名:Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
略  称:Ther Apher Dial
ISSNコード:17449987/17449979
掲載区分国外
巻・号・頁 21(1),pp.31-37
著者・共著者 Omae Kenji, Kondo Tsunenori, Takagi Toshio, Iizuka Junpei, Kobayashi Hirohito, Hashimoto Yasunobu, Tanabe Kazunari
発行年月 2017/02
概要 This study aimed to compare the outcomes of laparoscopic radical nephrectomy (LRN) between patients undergoing dialysis for ≤240 and >240 months. Data from all dialysis patients with non-metastatic renal cell carcinoma (RCC) treated with LRN between 2008 and 2015 in our hospital were evaluated retrospectively. Patients were divided into two groups, shorter- and longer-term dialysis patients, according to the preoperative duration of dialysis (≤240 vs. >240 months). Of 174 patients, 58 (33.3%) were on longer-term dialysis. Perioperative minor complications were significantly more frequent in the longer-term dialysis patients (P = 0.03). There was no significant difference between the two groups in other perioperative outcomes. Patients on longer-term dialysis more frequently had pathologically advanced RCC (P = 0.009) with poorer prognosis (P = 0.005). LRN for RCC in longer-term dialysis patients appears to be safe and feasible; however, careful follow-up is needed because these patients tend to have poorer prognosis.
DOI 10.1111/1744-9987.12500
PMID 28067459