Gorin Michael A, Gorbatiy Vladislav, Glenn Charles, Shirodkar Samir P, Castle Scott M, Jorda Merce, Leveillee Raymond J
Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
JSLS. 2012 Jan-Mar;16(1):159-62. doi: 10.4293/108680812X13291597716988.
Nephron-sparing surgery is currently the standard of care for the management of small renal masses. While both neoadjuvant and adjuvant conventional external beam radiotherapy have failed to demonstrate an oncologic benefit for the treatment of renal cell carcinoma, more recent work aims to explore the utility of stereotactic radiotherapy. We present the case of a 70-year-old woman who failed primary treatment of a small renal mass with the CyberKnife radiotherapy system and describe her successful salvage treatment with robot-assisted partial nephrectomy. This case demonstrates the safety of robotic surgery for the management of renal tumors following failed stereotactic radiotherapy.
保留肾单位手术目前是小肾肿瘤治疗的标准治疗方法。虽然新辅助和辅助常规外照射放疗均未显示出对肾细胞癌治疗的肿瘤学益处，但最近的研究旨在探索立体定向放疗的效用。我们报告了一名70岁女性的病例，她使用射波刀放射治疗系统对小肾肿瘤进行的初次治疗失败，我们描述了她通过机器人辅助部分肾切除术成功挽救治疗的情况。该病例证明了机器人手术在立体定向放疗失败后治疗肾肿瘤的安全性。
