PAULO AFONSO DE CARVALHO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
9 resultados
Resultados de Busca
Agora exibindo 1 - 9 de 9
- Renal cell carcinoma with perirenal fat invasion: Is partial nephrectomy as good as radical surgery?(2017) CORDEIRO, Mauricio; BASTOS, Diogo Assed; GALLUCCI, Fabio Pescarmona; BARBOSA, Joao Arthur Brunhara; ILARIO, Eder Nisi; CARVALHO, Paulo Afonso De; NONEMACHER, Henrique T. S.; ALBUQUERQUE, George Lins; MATTEDI, Romulo Loss; CARVALHO, Arnaldo Fazoli; NAHAS, William Carlos
- Robotic-assisted radical cystectomy: the first multicentric Brazilian experience(2020) MOSCHOVAS, Marcio Covas; CHADE, Daher Cesar; ARAP, Marco Antonio; SARKIS, Alvaro Sadek; NAHAS, William Carlos; TANURE, Luiz Henrique Rodrigues; EBAID, Gustavo; FAZOLI, Arnaldo Jose de Carvalho; GUGLIELMETTI, Giuliano Betoni; BISTACCO, Carolina; CORDEIRO, Mauricio; AFONSO, Paulo; SIGHINOLFI, Maria Chiara; ROCCO, Bernardo; COELHO, Rafael FerreiraThe objective of this study is to report the first multicentric Brazilian series and learning curve of robotic radical cystectomy (RARC) with related intra- and postoperative outcomes. We retrospectively analyzed 37 RARC prospectively collected at four different centers in Brazil, from 2013 to 2019. We analyzed the patient's demographics, pathological tumor, and nodal status, as well as intra- and postoperative outcomes. Statistical analysis was performed with the IBM (SPSS version 25) software. Overall, 86% were male, and the median age was 69 years. 83% had muscle-invasive bladder cancer, and 17% a high-grade, recurrent non-muscle-invasive tumor. The median operative time was 420 min with 300 min as console time. Median blood loss was 350 ml and transfusion rate was 10%. In 68% of the cases, we performed an intracorporeal Bricker urinary diversion, 24% intracorporeal neobladder, and 8% ureterostomy. Six patients (16%) had a Clavien 1-2, 8% had Clavien 3, 2.5% had a Clavien 4, and 5% had Clavien 5. The median length of hospital stay was 7 days. The final pathological exam pointed out pT0 in 16%, pT1 in 8%, pT2 in 32%, >= pT3 in 27%, and 16% pTis. 95% had negative surgical margins. The survival at 30, 90, and 180 days was 98%, 95%, and 95%, respectively. To our knowledge, this is the first multicentric series of RARC reporting the learning curve in Brazil; even if still representing a challenging procedure, RARC could be safely and effectively faced by experienced surgeons at centers with high volumes of robotic surgery.
- Oncological outcomes of positive surgical margins in partial nephrectomy for renal cell carcinoma.(2017) NONEMACHER, Henrique T. S.; CORDEIRO, Mauricio; ALBUQUERQUE, George Lins De; GALUCCI, Fabio; CARVALHO, Paulo Afonso de; BORGES, Leonardo; GUGLIELMETTI, Giuliano Betuni; BASTOS, Diogo Assed; COELHO, Rafael; SARKIS, Alvaro; DZIK, Carlos; NAHAS, William Carlos
conferenceObject ONCOLOGICAL OUTCOMES OF POSITIVE SURGICAL MARGINS IN PATIENTS WHO UNDERWENT PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA.(2017) NONEMACHER, Henrique; CORDEIRO, Mauricio; ALBUQUERQUE, George Lins de; BRUNHARA, Joao; CARVALHO, Paulo Afonso; GALLUCCI, Fabio; BORGES, Leornardo; COELHO, Rafael; PATEL, Vipul; NAHAS, WillianconferenceObject NEPHROMETRY SCORES ARE USELESS FOR EXPERIENCED UROLOGISTS IN CLINICAL PRACTICE(2017) NONEMACHER, Henrique; GUGLIELMETTI, Giuliano; ALBUQUERQUE, George Lins de; COELHO, Rafael; CORDEIRO, Mauricio; FAZOLI, Arnaldo; CARVALHO, Paulo Afonso; FREIRE, Tiago Magalhaes; HAYEK, Kayann Kaled R. el; PAGOTTO, Vitor; ALBUQUERQUE, George Lins de; ROCHA, Bruno Aragao; RODRIGUES, Diego Parga; KANAS, Alexandre Fligelman; VIANA, Publio Cesar Cavalcanti; NAHAS, WillianconferenceObject CAN WE IMPROVE PROGNOSTIC DISCRIMINATION FOR PATIENTS WITH PT3A STAGE RENAL TUMORS?(2018) CAVALCANTE, Alexandre; CORDEIRO, Mauricio; GALLUCCI, Fabio P.; NONEMACHER, Henrique; CARVALHO, Paulo Afonso; NAHAS, WilliamconferenceObject Neutrophil-to-lymphocyte ratio as a predictor of oncologic outcomes in locally advanced non-metastatic clear cell renal carcinoma(2020) RODRIGUES, Gilberto; SIERRA, Pablo; ALBUQUERQUE, Emanuel; GALLUCCI, Fabio Pescarmona; ILARIO, Eder Nisi; CARVALHO, Paulo Afonso de; MUNIZ, David Queiroz Borges; SARKIS, Alvaro; COELHO, Rafael; CORDEIRO, Mauricio; NAHAS, William CarlosconferenceObject ONCOLOGICAL OUTCOMES IN UNCLASSIFIED RENAL CELL CARCINOMA(2021) SAWCZYN, Guilherme; RODRIGUES, Gilberto; PEREIRA, Maykon; CARDILLI, Leonardo; CARVALHO, Paulo Afonso; GALLUCCI, Fabio; SARKIS, Alvaro; NAHAS, William; CORDEIRO, MauricioconferenceObject RENAL CELL CARCINOMA WITH PERIRENAL FAT INVASION: IS PARTIAL NEPHRECTOMY AS GOOD AS RADICAL SURGERY?(2017) GALLUCCI, Fabio; CORDEIRO, Mauricio; BARBOSA, Joao; CARVALHO, Paulo Afonso; NONEMACHER, Henrique; ILARIO, Eder; FAZOLI, Arnaldo; ABE, Daniel; CASSAO, Valter; MATTEDI, Romulo; NAHAS, William