Harris GE Siemens
CTisUS Sponsers
Kidney

Renal Tumor Surgery: Pre Op And Post Op Findings

  • "CT has an important role in postoperative evaluation of patients with urinary diversion to identify correctablle causes early to prevent deterioration in renal function and detect tumor recurrence in patients who had bladder cancer."

    Role of CT in Postoperative Evaluation of Patients Undergoing Urinary Diversion
    Kawamoto S, Fishman EK
    AJR 2010; 194:690-698

  • Post Partial Nephrectomy CT Findings (normal)
    - Kidney displacement
    - Perinephric fat stranding
    - P
    arenchymal defect
    - Non fat containing post operative collection
    - Significant more posterior renal displacement
  • "While almost all postoperative cllections decrease in size or completely resolve over time, collections after laprascopic surgery may persist longer, some up to 3 years."

    Laparascopic and Open Partial Nephrectomy: Frequency and Long-term Follow-up of Postoperative Collections
    Hecht EM et al.
    Radiology 2010; 255:476-484
  • "Prevalence of findings 2-3 years after partial nephrectomy depends on the surgical approach. After laparoscopic partial nephrectomy, collections are more frequently detected on images and may take longer to resolve than following an open approach."

    Laparascopic and Open Partial Nephrectomy: Frequency and Long-term Follow-up of Postoperative Collections
    Hecht EM et al.
    Radiology 2010; 255:476-484