MP57-14 INTRAOPERATIVE MOLECULAR DIAGNOSTIC IMAGING CAN IDENTIFY RENAL CELL CARCINOMA DURING NEPHRECTOMY

Abstract

open surgery. Only 1 patient in PCA group required a reintervention performed by radiological embolization. Both groups had a comparable mean postoperative serum creatinine and eGFR was stable over time in both groups. According to Clinical Practice Guideline for Acute Kidney Injury (AKI) only 5% of patients had an acute compromise renal function (AKI Stage 1) which resolved in a few days. At Univariate and Multivariate analysis predictors of Recurrence Disease (RD) included PADUA Score 8 (HR 1⁄4 9.99) and ASA risk 4 (HR 1⁄4 11.23). Limitations of our study are: limited follow-up, oncologic outcomes based only on radiographic criteria and lack of pathologic data in some cases. CONCLUSIONS: Our multicentric analysis shows that oncologic outcomes and complication rate in PCA treatment and LCA treatment have no statistical difference. Both treatments are safe and effective is the management of cT1 solid renal masses in patients who are poor candidates for conventional surgery. Longer follow-up is required to truly interpret oncologic outcomes after cryoablation.