{"id":12030,"date":"2025-08-05T09:50:17","date_gmt":"2025-08-05T13:50:17","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/radical-nephrectomy\/"},"modified":"2025-08-05T09:50:17","modified_gmt":"2025-08-05T13:50:17","slug":"nefrectomia-radical","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/nefrectomia-radical\/","title":{"rendered":"Nefrectom\u00eda Radical"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12030","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>La nefrectom\u00eda radical es un procedimiento quir\u00fargico que implica la extirpaci\u00f3n completa de un ri\u00f1\u00f3n, la grasa perirrenal circundante y, a veces, estructuras adyacentes como la gl\u00e1ndula suprarrenal y los ganglios linf\u00e1ticos regionales.<sup>1<\/sup> Este procedimiento se realiza principalmente para tratar el c\u00e1ncer de ri\u00f1\u00f3n, particularmente el carcinoma de c\u00e9lulas renales (RCC), cuando el tumor es grande o est\u00e1 ubicado en una posici\u00f3n que requiere una extirpaci\u00f3n parcial. desafiante.<sup>2<\/sup> El t\u00e9rmino \"radical\" se refiere a la naturaleza integral de la extirpaci\u00f3n, a diferencia de la nefrectom\u00eda parcial que preserva una porci\u00f3n del ri\u00f1\u00f3n.<sup>3<\/sup><\/p>\n    \n    <p>El procedimiento se puede realizar mediante diferentes enfoques quir\u00fargicos, incluida la cirug\u00eda abierta (a trav\u00e9s de una gran incisi\u00f3n en el abdomen o el flanco), cirug\u00eda laparosc\u00f3pica (utilizando varias incisiones peque\u00f1as e instrumentos especializados) o cirug\u00eda asistida por robot (utilizando brazos rob\u00f3ticos controlados por un cirujano).<sup>4<\/sup> La nefrectom\u00eda radical se considera un procedimiento quir\u00fargico mayor que requiere anestesia general y normalmente implica una estancia hospitalaria de varios d\u00edas.<sup>5<\/sup><\/p>","gt-synonyms":"Nefrectom\u00eda completa, Nefrectom\u00eda total, Extirpaci\u00f3n radical del ri\u00f1\u00f3n, Enfermero registrado (abreviatura)","gt-citation":"[1] Larcher A, Cei F, Belladelli F, et al. The Learning Curve for Radical Nephrectomy for Kidney Cancer: Implications for Surgical Training. Eur Urol Open Sci. 2023;47:11-14. DOI: 10.1016\/j.euros.2022.12.007\n\n[2] Zhang ZL, Li YH, Luo JH, et al. Complications of radical nephrectomy for renal cell carcinoma: a retrospective study comparing transperitoneal and retroperitoneal approaches using a standardized reporting methodology in two Chinese centers. Chin J Cancer. 2013;32(8):461-468. DOI: 10.5732\/cjc.013.10078\n\n[3] Robson CJ, Churchill BM, Anderson W. The results of radical nephrectomy for renal cell carcinoma. J Urol. 2002;167(2 Pt 2):873-875. DOI: 10.1016\/S0022-5347(02)80286-5\n\n[4] Campbell SC, Novick AC, Belldegrun A, et al. Guideline for management of the clinical T1 renal mass. J Urol. 2009;182(4):1271-1279. DOI: 10.1016\/j.juro.2009.07.004\n\n[5] Ljungberg B, Albiges L, Abu-Ghanem Y, et al. European Association of Urology Guidelines on Renal Cell Carcinoma: The 2022 Update. Eur Urol. 2022;82(4):399-410. DOI: 10.1016\/j.eururo.2022.03.006","gt-clinical-context":"<p>La nefrectom\u00eda radical est\u00e1 indicada principalmente para el tratamiento del carcinoma de c\u00e9lulas renales localizado (RCC), particularmente cuando los tumores son grandes (t\u00edpicamente >7 cm, clasificados como T2), est\u00e1n ubicados centralmente cerca del hilio o involucran estructuras adyacentes.<sup>1<\/sup> Tambi\u00e9n es el enfoque est\u00e1ndar para el c\u00e1ncer de ri\u00f1\u00f3n avanzado que se ha extendido m\u00e1s all\u00e1 de la c\u00e1psula del ri\u00f1\u00f3n o hacia las venas principales (T3-T4 tumores).<sup>2<\/sup><\/p>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes incluyen la consideraci\u00f3n de las caracter\u00edsticas del tumor (tama\u00f1o, ubicaci\u00f3n y estadio), la funci\u00f3n renal general y las comorbilidades del paciente.<sup>3<\/sup> Para pacientes con funci\u00f3n renal contralateral normal, la nefrectom\u00eda radical generalmente es bien tolerada, ya que un solo ri\u00f1\u00f3n sano puede mantener una funci\u00f3n renal adecuada.<sup>4<\/sup> Sin embargo, para pacientes con enfermedad renal cr\u00f3nica preexistente o factores de riesgo para insuficiencia renal futura, se pueden preferir abordajes preservadores de nefronas cuando sea t\u00e9cnicamente factible.<sup>5<\/sup><\/p>\n    \n    <p>El procedimiento quir\u00fargico generalmente dura de 2 a 3 horas e implica varios pasos clave: posicionamiento del paciente, incisi\u00f3n (seg\u00fan el abordaje), aislamiento del ri\u00f1\u00f3n y sus vasos sangu\u00edneos, ligadura de la arteria y la vena renales, extirpaci\u00f3n del ri\u00f1\u00f3n con la grasa circundante (y a veces de la gl\u00e1ndula suprarrenal y los ganglios linf\u00e1ticos) y cierre del sitio quir\u00fargico.<sup>6<\/sup><\/p>\n    \n    <p>La recuperaci\u00f3n despu\u00e9s de la nefrectom\u00eda radical var\u00eda seg\u00fan el abordaje quir\u00fargico. La cirug\u00eda abierta generalmente requiere de 6 a 8 semanas para una recuperaci\u00f3n completa, mientras que los enfoques laparosc\u00f3picos o rob\u00f3ticos pueden permitir el regreso a las actividades normales dentro de 3 a 4 semanas.<sup>7<\/sup> Las complicaciones potenciales incluyen sangrado, infecci\u00f3n, da\u00f1o a los \u00f3rganos circundantes y funci\u00f3n renal reducida.<sup>8<\/sup> Los resultados a largo plazo para el CCR localizado tratado con nefrectom\u00eda radical son generalmente favorables, con tasas de supervivencia a 5 a\u00f1os superiores. 90% para enfermedad en etapa I.<sup>9<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":68},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Nefrectom\u00eda Radical<\/title>\n<meta name=\"description\" content=\"La nefrectom\u00eda radical es la 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