Bazeed M A, Schärfe T, Becht E, Jurincic C, Alken P, Thüroff J W
Eur Urol. 1986;12(4):238-43. doi: 10.1159/000472627.
From 1967 to 1985 conservative surgery (enucleation, n = 49; partial resection, n = 7) was performed for renal tumors in 57 patients (age 31-77, mean 54.8 years). Imperative indications for conservative surgery (n = 29) were chronic renal failure, benign pathology of contralateral kidney, functional or anatomical solitary kidney, and bilateral tumors. Elective conservative surgery (n = 28) was done for small, peripherally located lesions, in cases of uncertain malignancy and in one tumor detected by chance during stone surgery. Tumors removed for imperative indications were 2-11 cm (mean 5.8 cm) in size. In the elective group, tumor size ranged from 1 to 7 cm (mean 3.3 cm). Follow-up was 6-103 months (mean 35.8 months). In the group with imperative indications, there was 1 postoperative mortality; 18 of 29 patients are alive without evidence of disease, 2 with metastases, and 2 were reoperated conservatively for local recurrences; 1 was lost to follow-up, 2 died of metastases, and 3 died due to unrelated reasons. In the elective group all 28 patients are living free of cancer.
1967年至1985年期间，对57例肾肿瘤患者（年龄31 - 77岁，平均54.8岁）实施了保守性手术（摘除术，n = 49；部分切除术，n = 7）。保守性手术的必要指征（n = 29）包括慢性肾衰竭、对侧肾良性病变、功能性或解剖学上的孤立肾以及双侧肿瘤。选择性保守性手术（n = 28）适用于小的、位于周边的病变、恶性情况不确定的病例以及在结石手术中偶然发现的一个肿瘤。因必要指征而切除的肿瘤大小为2 - 11厘米（平均5.8厘米）。在选择性手术组中，肿瘤大小为1至7厘米（平均3.3厘米）。随访时间为6 - 103个月（平均35.8个月）。在有必要指征的组中，有1例术后死亡；29例患者中有18例存活且无疾病证据，2例有转移，2例因局部复发接受了保守性再次手术；1例失访，2例死于转移，3例因无关原因死亡。在选择性手术组中，所有28例患者均无癌生存。
