SURGICAL TACTICS IN RENAL-CELL CARCINOMA
Aim. To evaluate the effectiveness of applied diagnostic methods of research and the results of surgical treatment of patients with renal cell carcinoma. Material and methods. Retrospective (n =65) and prospective (n = 34) study of medical histories and outpatient records of 99 patients with renal cell carcinoma who were treated in the uroprocto-oncological department of SI ROSC of the Republic of Tajikistan for the period 2016-2020 was conducted. Results. The method of choice for surgical treatment of localized kidney cancer (T 1a) is organ-preserving surgery (kidney resection). Nephrectomy is the optimal method in the stage T1-T3 renal cell carcinoma. In metastatic renal cell carcinoma, cytoreductive nephrectomy contributes to improving survival rates and quality of life of patients. Computed tomography with intravenous contrast enhancement is a highly sensitive method of diagnosing RCC. Conclusion. The low rate of postoperative complications and the comparative adequate 3-year survival rate reflect generally correct surgical tactics and it is also confirmed by the fact that during the completion of this study, the clinic began to laparoscopic resections for tumors less than 5 cm.