Supervivencia cáncer específica posterior a nefrectomía radical frente a nefrectomía parcial en carcinoma renal t2: revisión sistemática


Autoria(s): Osorio Ospino, Catalina
Contribuinte(s)

Poveda Matiz, José Luis

Data(s)

05/12/2013

Resumo

Introducción: El tratamiento estándar para los tumores renales localizados es la nefrectomía radical, sin embargo debido a la variación el tamaño del tumor renal en el momento del diagnóstico, se ha reemplazado en algunos casos por la nefrectomía parcial. Objetivo: Este estudio busca comparar el resultado oncológico de la nefrectomía parcial en términos de supervivencia cáncer específica, respecto a la nefrectomía radical, en pacientes mayores de 50 años con carcinoma renal estadio II (T2N0M0) Métodos: Se realizó una revisión sistemática de la literatura, con inclusión de estudios de casos y controles, cohortes y experimentos clínicos aleatorizados incluidos en las bases de datos de MEDLINE , EMBASE y CENTRAL Resultados: La búsqueda inicial emitió un total de 101 resultados, 11 artículos fueron preseleccionados y sólo un artículo cumplió con los criterios de selección; éste se clasificó como nivel de evidencia II. Conclusión: No fue posible concluir su equivalencia oncológica de la nefrectomía radical con la nefrectomía parcial, dado que no hay diseños de estudios que permitan llegar a esta conclusión.

Introduction: Radical nephrectomy has been the standard procedure for the treatment of localized renal tumors However, partial nephrectomy is preferred in some cases due to the crescent diagnosis of small renal masses. Objective: The target of this study is to compare the oncological outcomes in patients older than 50 years with renal carcinoma stage II (T2N0M0) in therms of disease specific survival. In partial nephrectomy against radical nephrectomy. Methods: This Sistematic review was made by the assessment of the MEDLINE, EMBASE and CENTRAL databases with the inclusion of case-control studies, cohort studies and randomized controlled trials. Results: The initial search released 101 articles, 11 were preselected and one study were finally included with a II level of evidence. Conclusion: It was not possible to concluded the oncological equivalence between the radical nephrectomy and the partial nephrectomy, although there is not enough evidence.

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http://repository.urosario.edu.co/handle/10336/4874

Idioma(s)

spa

Publicador

Facultad de Medicina

Direitos

info:eu-repo/semantics/openAccess

Fonte

instname:Universidad del Rosario

reponame:Repositorio Institucional EdocUR

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Palavras-Chave #CARCINOMA DE CÉLULAS RENALES #NEFRECTOMÍA #Renal Cell Carcinoma #Radical Nephrectomy #Partial Nephrectomy
Tipo

info:eu-repo/semantics/bachelorThesis

info:eu-repo/semantics/acceptedVersion