| Simultaneous radical nephrectomy and repair of abdominal aortic aneurysm. | |
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MedLine Citation:
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PMID: 8677569 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The combination of abdominal aortic aneurysm repair with other intra-abdominal surgery is controversial. Most studies have shown that a variety of procedures can be performed at the same time as an aneurysm repair with little change in mortality or complication rates. We conducted a retrospective study to determine if aneurysm repair could be safely and effectively combined with radical nephrectomy. METHODS: We studied 10 patients who underwent combined abdominal aortic aneurysm repair and radical nephrectomy during a 4-year period. Results from this group were compared to a separate control group of 10 patients who underwent radical nephrectomy alone and another of 12 patients underwent abdominal aortic aneurysm repair alone, during the same time period. RESULTS: The overall mortality was 10% and significant complications occurred in an additional 10% of patients. Minor, self-limiting complications occurred in 30% of patients. There were no aortic graft infections that occurred in the entire series of patients at 18 months of mean follow-up. There were no remarkable differences in the entire series of patients and the combined values in a separate group of control patients who had undergone either procedure alone. CONCLUSIONS: Simultaneous radical nephrectomy for presumed renal cell carcinoma can be safely combined with repair of abdominal aortic aneurysm in selected patients. |
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Authors:
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B R Konety; B Shuman; M Webster; D L Steed; R R Bahnson |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Urology Volume: 47 ISSN: 0090-4295 ISO Abbreviation: Urology Publication Date: 1996 Jun |
Date Detail:
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Created Date: 1996-08-12 Completed Date: 1996-08-12 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 813-8 Citation Subset: IM |
Affiliation:
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Division of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aortic Aneurysm, Abdominal / surgery* Female Follow-Up Studies Humans Male Nephrectomy / methods* Postoperative Complications / epidemiology Retrospective Studies Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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