Kobayashi Y, Sekihara T, Nakamura M, Kokado Y, Takahara S, Koide T, Nakano E, Matsuda M
Department of Urology, Osaka University School of Medicine.
Hinyokika Kiyo. 1990 Mar;36(3):359-62.
A case of testicular tumor (embryonal cell carcinoma with choriocarcinoma) in a 42-year-old man treated with renal autotransplantation is presented. After four courses of chemotherapy (carboplatin, vinblastine and bleomycin), we performed retroperitoneal lymph node dissection. At the operation, one of the swelling lymph nodes involved left renal artery completely, so we performed left renal autotransplantation and promoted more effective lymph node dissection. After the operation, renal function was impaired but returned completely in a short time. Autotransplantation provides excellent bench visualization of renal lesions and stable graft function. Therefore, this procedure should be taken into consideration when nephrectomy cannot be avoided.
本文介绍了一名42岁患有睾丸肿瘤（胚胎性细胞癌合并绒毛膜癌）的男性患者接受自体肾移植治疗的病例。在进行了四个疗程的化疗（卡铂、长春碱和博来霉素）后，我们进行了腹膜后淋巴结清扫术。手术中，一个肿大的淋巴结完全累及左肾动脉，因此我们进行了左肾自体移植，以便更有效地进行淋巴结清扫。术后肾功能出现损害，但在短时间内完全恢复。自体移植为肾脏病变提供了良好的手术视野，且移植肾功能稳定。因此，当无法避免肾切除术时，应考虑这一手术方式。
