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Influence of localisation of a tumour on treatment tactics

The neoplasm location makes appreciable impact on possibility definition organosohranjajushchej operations (J.G.Aljaev, 2005). Tumour localisation it is possible ustanavit already at ultrasonic. According to J.G.Aljaeva, it is possible to allocate a tumour of the top, bottom and back segment, and also its average part.

Thus the tumour can be located on a forward or back surface of a kidney, its medial or lateralnomu to a contour. Localisation of volume formation defines appreciable technical difficulties at performance organosohranjajushchej operations.

For specification of depth of a lesion of a tumour in a renal sine, and also interest CHLS carry out intraoperatsionnoe ultrasonic.

The most simple situation happens at tumour localisation in the bottom and top segment as at the given locating technically easier to execute organosohranjajushchuju operation and to take in a wound of the operated organ. Also favorable there is a localisation on an external contour of an average part of a kidney when performance of a sphenoidal resection is possible.

At neoplasm localisation on a back surface of kidney OSO it is technically more difficult.

Possibility of performance OSO at neoplasm localisation in an average part of a kidney, in a back segment of an organ in an outcome, as a rule is established only intraoperatsionno after ultrasonic for specification of borders of a neoplasm and expression of its intrarenal part. If the neoplasm settles down mainly extrarenally and has not expressed intrarenal - nuju a part it is possible to execute organosohranjajushchuju operation (J.G.Aljaev, 2005).

Tumour localisation influences by sight the operative grant (J.G.Aljaev, 2005).

Thus, tumour localisation in most cases defines possibility of realisation OSO and its kind. Tumour localisation in the top or bottom segment of a kidney, and also on it lateralnomu to a contour is more favorable for a resection which most frequent kind is sphenoidal (J.G.Aljaev, 2005).

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A source: Hamitov Denis Dinarovich. Tactics of surgical treatment of patients with bilateral tumors of the kidneys, a tumor of a single kidney and patients with a kidney tumor in combination with chronic kidney diseases on the opposite side. Thesis for the degree of candidate of medical sciences. Kazan 2014. 2014

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