Röhl L, Dreikorn K, Heering H
Helv Chir Acta. 1979 Aug;46(3):309-13.
The surgical treatment of patients with tumours in solitary kidneys and bilateral renal tumours is controversial. Conservative surgical procedures by excision of the tumour in situ or by extracorporeal "work bench surgery" with subsequent autotransplantation are a real alternative to radical nephrectomy which necessitates chronic dialysis or renal allotransplantation. 23 patients with tumours in solitary kidneys resp. bilateral renal tumours have been treated by local excision in situ (10 patients) or extracorporeal surgery (15 patients). The preoperative diagnostic investigations, indications for in situ resp. extracorporeal surgery, details of the operative procedure and results of treatment are presented and discussed.
对孤立肾肿瘤和双侧肾肿瘤患者的外科治疗存在争议。通过原位切除肿瘤或体外“工作台手术”并随后进行自体移植的保守性外科手术，是根治性肾切除术的一种切实可行的替代方法，根治性肾切除术必然需要长期透析或同种异体肾移植。23例孤立肾肿瘤或双侧肾肿瘤患者分别接受了原位局部切除（10例）或体外手术（15例）。本文介绍并讨论了术前诊断性检查、原位或体外手术的适应证、手术操作细节及治疗结果。
