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Este artículo revisa los aspectos técnicos y consideraciones perioperatorias de la cirugía de preservación de nefronas (NSS) para tumores de Wilms. Se discuten avances recientes en técnicas de
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How to fill out nephron-sparing surgery for wilms

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How to fill out nephron-sparing surgery for wilms

01
Gather all necessary patient information and medical history.
02
Perform imaging studies (e.g., ultrasound, CT scan) to assess the tumor's size and location.
03
Discuss the case in a multidisciplinary team meeting to plan the surgery.
04
Ensure informed consent is obtained from the patient's guardians.
05
Prepare the patient for surgery, ensuring they are properly positioned and anesthetized.
06
Make a surgical incision to access the kidney while minimizing damage to healthy tissue.
07
Carefully dissect around the tumor while preserving healthy nephron tissue.
08
Remove the tumor with a margin of healthy tissue if possible.
09
Confirm successful removal via intraoperative ultrasound or pathology if necessary.
10
Close the incision and monitor the patient post-operatively for any complications.

Who needs nephron-sparing surgery for wilms?

01
Patients diagnosed with Wilms tumor (nephroblastoma) who have localized tumors that do not require full nephrectomy.
02
Children with Wilms tumor who have good renal function in the affected kidney.
03
Patients where nephron-sparing surgery can preserve kidney function and minimize the risk of dialysis or transplantation.
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Nephron-sparing surgery for Wilms tumor is a surgical procedure aimed at removing the tumor while preserving as much healthy kidney tissue as possible. This approach is used primarily in cases where the tumor is localized and the remaining kidney function needs to be maintained.
Typically, nephron-sparing surgery for Wilms tumor is performed by pediatric oncologists and surgeons who specialize in treating childhood cancers. It is indicated for patients diagnosed with Wilms tumor, particularly in cases where the tumor is not invading the surrounding kidney tissue.
Filling out nephron-sparing surgery documentation usually involves detailing the patient's medical history, the findings from imaging studies, the surgical approach taken, and the pathology results post-surgery. It should include specific information about the tumor's size, location, and its effects on the kidney.
The purpose of nephron-sparing surgery for Wilms tumor is to effectively remove the tumor while minimizing damage to the kidney, thereby preserving renal function and reducing the risk of long-term complications associated with complete nephrectomy.
Information that must be reported includes the type and size of the tumor, the extent of surgery performed, any complications encountered during the procedure, the patient's postoperative condition, and histopathological findings of the tumor.
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