Самсонов Ю.В.

The main criteria for the efficacy estimation of the organ-preservation surgery in patients with kidney cancer (KC) is the incidence of local recurrences and survival outcomes. The main cause of the local recurrence is non-radical manner of excision and multifocal tumor growth. Our study included 56 patients with KC which were treated operatively: 20 (35.7%) patients with open partial nephrectomy, 36 (64.2%) patients with laparoscopic partial nephrectomy. As photosensibilizer ‘Alasens’ (Russia) was used (5- aminolevulenic acid).

In despite of achievements in different types of urine derivation, the estimation of life' quality in patients underwent of such type of operative treatment still be not only the medical problem, but more social one. Th ere were estimated retrospectively 148 patients with bladder cancer, 145 patients underwent of radical cystectomy and urine derivation. Patients were divided into groups by type of urine derivation. Th e fi rst group included 66 patients aft er incontinential form of urine derivation – ileum conduit (Briker operation).