Pintér J, Szokoly V, Villányi K, Böszörményi G
Department of Urology, Debrecen University Medical School, Hungary.
Acta Chir Hung. 1987;28(3):209-15.
It is stressed that the 5-year survival in the T3 stage renal tumour patients is decisively influenced by the radical removal of the tumorous kidney. It is, however, often difficult to secure radicality. According to the authors' experience, radicality can be ensured by extrapleural throacoabdominal incision also in the case of large renal tumours. This way of exploration combines the advantages of both the abdominal and high lumbar incisions. It facilitates postoperative care by making thoracic drainage unnecessary.
需要强调的是，T3期肾肿瘤患者的5年生存率决定性地受患肾根治性切除的影响。然而，确保根治性往往很困难。根据作者的经验，对于大的肾肿瘤，经胸膜外胸腹联合切口也能确保根治性。这种探查方式结合了腹部切口和高位腰部切口两者的优点。它无需胸腔引流，从而便于术后护理。
