Tiago Jacometo Coelho de Castilho
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22
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About
Dr. Tiago Jacometo Coelho de Castilho is a distinguished urologic surgeon and researcher whose work centers on minimally invasive surgical techniques for complex renal and urological anomalies. His most cited study, "Laparoscopic partial nephrectomy for renal cell carcinoma in a horseshoe kidney" (2014, 22 citations), represents a landmark contribution to the field. In this work, Dr. Castilho addressed the formidable challenge of performing nephron-sparing surgery in patients with horseshoe kidney—a congenital fusion anomaly occurring in 1 in 400 to 1 in 1000 births, with a 2:1 male predominance and associations with chromosomal aneuploidies. By demonstrating the feasibility and safety of laparoscopic partial nephrectomy in this anatomically distorted setting, he expanded surgical options for renal cell carcinoma patients with this rare condition. His meticulous description of the embryological pathophysiology, occurring during the second to sixth week of gestation when the metanephric blastemas fuse, provides critical context for surgical planning. Dr. Castilho’s work has been instrumental in advancing the paradigm of minimally invasive urologic oncology, offering patients with congenital renal anomalies access to less invasive, kidney-sparing treatments while maintaining oncologic efficacy. His contributions continue to influence surgical approaches in complex urological anatomy.
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