Patrashkov T, Dragiev D, Petrov P, Lilov A
Khirurgiia (Sofiia). 1990;43(6):45-50.
Experience is recorded with the diagnosis and treatment of 90 patients with tumors of the kidney and its pyelocalyx system. Of all methods of diagnosis major importance is attached to computer axial tomography. It is emphasized that the approach to the kidney, the type and scope of the operative intervention should depend on the stage of tumor development. For tumors of the pyelocalyx system it is recommended to perform nephroureterectomy, since this approach rules out the hazard of appearance of tumors in the ureter. The presence of isolated metastases is no contraindication for performing nephrectomy. Indications for organ-preserving operation should be strictly specified. They should applied in patients with single kidney, patients with bilateral tumors and patients with chronic renal failure.
记录了90例肾及其肾盂肾盏系统肿瘤患者的诊断和治疗经验。在所有诊断方法中，计算机轴向断层扫描最为重要。强调对肾脏的处理、手术干预的类型和范围应取决于肿瘤的发展阶段。对于肾盂肾盏系统肿瘤，建议行肾输尿管切除术，因为这种方法可排除输尿管出现肿瘤的风险。存在孤立性转移并非肾切除术的禁忌证。保留器官手术的适应证应严格明确。这些适应证适用于单肾患者、双侧肿瘤患者和慢性肾衰竭患者。
