Choquenet C, Foldes P, Dufour B
Ann Urol (Paris). 1986;20(6):427-32.
Resection of renal tumours may be useless when the staging procedures reveal that the disease is too far advanced. A retrospective study of 100 radical nephrectomies for renal cell carcinoma distinguished the following groups: advanced cancers in young patients; cancers in patients over the age of 70 years. Despite the limited follow-up of this series, the study of survival demonstrates the following points: the difficulty of predicting the degree of lymph node involvement on pre-operative staging, the value of an anterior sub-costal and abdominal approach which facilitates radical nephrectomy in elderly and fragile patients, the poor prognosis of lymph node invasion and metastases, although some patients have survived for 12 months after resection of metastatic tumours.
当分期检查显示疾病进展过于严重时，切除肾肿瘤可能毫无意义。一项对100例肾细胞癌根治性肾切除术的回顾性研究区分出了以下几组：年轻患者中的晚期癌症；70岁以上患者中的癌症。尽管该系列研究的随访有限，但生存研究表明了以下几点：术前分期时预测淋巴结受累程度的困难；肋下前入路和腹部入路在老年和体弱患者中有利于根治性肾切除术的价值；淋巴结侵犯和转移的预后较差，尽管有些患者在转移性肿瘤切除后存活了12个月。
