Komiakov B K, Zamiatnin S A, Novikov A I, Kurkov A S, Popov S V, Tovstukha D V, Tsygankov A V
Urologiia. 2013 Jul-Aug(4):60-3.
The results of 11 extracorporeal partial nephrectomies for neoplasm with subsequent autologous transplantation of kidney are presented. In 4 patients, resection was performed ex vivo in the presence of a large centrally located tumor in a solitary kidney. Another two patients had bilateral tumor process. In 2 patients, a large, centrally located tumor in solitary kidney was the indication for extracorporeal resection. 3 patients had elective indications for the operation. Early postoperative complications occurred in 5 patients. 3 patients had oligoanuria. One patient developed postoperative bleeding; one patient developed obliteration of the upper third of ureter. Recurrence of renal cell cancer has not been identified; the functional state of the kidney vessels and vessels of upper urinary tract was regarded as satisfactory. Good results of these operations indicate the feasibility of expanding the indications for extracorporeal organ-sparing surgery.
本文报告了11例肿瘤体外部分肾切除术及随后自体肾移植的结果。4例患者因孤立肾中央有大肿瘤而进行体外切除。另外2例患者有双侧肿瘤病变。2例患者因孤立肾中央有大肿瘤而进行体外切除。3例患者有手术的择期指征。5例患者出现早期术后并发症。3例患者少尿。1例患者术后出血；1例患者输尿管上段闭塞。未发现肾细胞癌复发；肾血管和上尿路血管的功能状态被认为是满意的。这些手术的良好结果表明扩大体外保留器官手术指征的可行性。
