Ziegelbaum M, Novick A C, Streem S B, Montie J E, Pontes J E, Straffon R A
Department of Urology, Cleveland Clinic Foundation, Ohio 44106.
J Urol. 1987 Nov;138(5):1146-9. doi: 10.1016/s0022-5347(17)43529-4.
From 1972 to 1986, 14 patients underwent a conservative operation for transitional cell carcinoma of the renal pelvis. Most of these patients had low grade (12), noninvasive (10) tumors involving a solitary functioning kidney (12). The operations performed were open pyelotomy with tumor excision and fulguration (8 patients), partial nephrectomy (5) and percutaneous nephroscopic fulguration (1). There was 1 operative death. Of the 13 surviving patients 8 (62 per cent) remained free of transitional cell carcinoma postoperatively, while 5 (38 per cent) had recurrent disease. Six patients (46 per cent) presently are free of tumor 6 months to 5 years postoperatively. Conservative surgical techniques can provide satisfactory treatment for selected patients with renal pelvic transitional cell carcinoma when preservation of functioning renal parenchyma is necessary to avoid kidney failure.
1972年至1986年间，14例肾盂移行细胞癌患者接受了保守手术。这些患者大多为低级别（12例）、非浸润性（10例）肿瘤，累及单肾功能肾（12例）。所施行的手术包括开放性肾盂切开肿瘤切除术及电灼术（8例患者）、部分肾切除术（5例）和经皮肾镜电灼术（1例）。有1例手术死亡。在13例存活患者中，8例（62%）术后无肾盂移行细胞癌，而5例（38%）出现疾病复发。6例患者（46%）目前在术后6个月至5年无肿瘤。当有必要保留功能性肾实质以避免肾衰竭时，保守性手术技术可为选定的肾盂移行细胞癌患者提供满意的治疗。
