Pre-surgical Treatment of Renal Cell Carcinoma

Damodaran, Shivashankar; Abel, E. Jason

doi:10.1007/978-3-319-92309-3_14

Cited by 1 publication

(1 citation statement)

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“…Young et al (18) stated that a reduction in the SMG may indicate worse survival for patients diagnosed with melanoma when The distribution and quantity of adipose tissue have been associated with postoperative complications in patients undergoing minimally invasive partial nephrectomy (19) . However, postoperative complication rates may be associated with the surgical technique, given that laparoscopic radical nephrectomy is associated with less blood loss and a shorter recovery period in comparison with open radical nephrectomy (20) . In the present study, 59.6% of the patients were diagnosed with RCC in the early stages and the surgical technique used in most cases was laparoscopic nephrectomy, which may explain the low rates of postoperative symptoms and readmissions (11.5% and 3.8%, respectively).…”

Section: Discussionmentioning

confidence: 99%

Impact of preoperative body composition in patients with renal cell carcinoma submitted to surgical treatment

Carniatto,

Bitencourt,

Miola

et al. 2023

Radiol Bras

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Objective: To evaluate the impact of preoperative body composition in patients with renal cell carcinoma (RCC) undergoing surgical treatment. Materials and Methods: This was a retrospective study of 52 patients with RCC undergoing total or partial nephrectomy. Body composition assessment was performed using the body mass index, together with computed tomography analysis at the level of the third lumbar vertebra to measure the area of visceral adipose tissue, as well as the area and density of skeletal muscle mass. Results: Malnutrition, obesity and inadequate skeletal muscle gauge (SMG) were associated with higher hospital length of stay (p = 0.028, p = 0.02 and p = 0.012, respectively). Although the rates of postoperative symptoms and readmissions were low, survival was better among the patients with an adequate SMG than among those with an inadequate SMG (p = 0.003). Conclusion: Among patients with RCC undergoing surgical treatment, preoperative body composition does not seem to be associated with the rates of perioperative complications, although an inadequate SMG seems to be associated with worse overall survival.

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Section: Discussionmentioning

confidence: 99%