Masuda F, Yoshida M, Kondo N, Takahashi T, Kondo I, Furuta N
Gan No Rinsho. 1985 Dec;31(15):1889-92.
The usefulness of radical nephrectomy combined with lymphadenectomy for improving the prognosis of renal cell carcinoma was evaluated in 146 patients with this disease during the 21-year period from 1963 to 1983. Eighty-six out of the 146 underwent radical nephrectomy alone, while the remaining 60 patients received radical nephrectomy combined with lymphadenectomy. In cases of stage I and stage IV B, lymphadenectomy produced no improvement in the survival rate. On the other hand, of the 58 patients who had stage II and stage III disease, in the 23 who underwent lymphadenectomy, the survival rate improved significantly as compared to the 35 who did not.
在1963年至1983年的21年期间,对146例肾细胞癌患者评估了根治性肾切除术联合淋巴结清扫术对改善预后的作用。146例患者中,86例仅接受了根治性肾切除术,其余60例患者接受了根治性肾切除术联合淋巴结清扫术。在I期和IV B期病例中,淋巴结清扫术并未提高生存率。另一方面,在58例II期和III期疾病患者中,接受淋巴结清扫术的23例患者的生存率与未接受清扫术的35例患者相比有显著提高。