Pettersson S, Brynger H, Henriksson C, Johansson S L, Nilson A E, Ranch T
Cancer. 1984 Aug 1;54(3):379-86. doi: 10.1002/1097-0142(19840801)54:3<379::aid-cncr2820540302>3.0.co;2-u.
Nephroureterectomy, renal autotransplantation, and pyelocystostomy have been performed in eight patients with urothelial tumors of the upper urinary tract. One patient had tumors in a solitary kidney, two patients had bilateral tumors, and five patients had unilateral tumors. Three patients have had recurrent calyceal tumors which were successively managed by the transurethral route. In one patient the kidney had to be removed after 4.5 years because of infiltrating tumor recurrence. Two patients died; the renal pelvis of the graft was tumor free at autopsy in both cases. The other five patients are alive and free from tumor recurrence. The procedure implies increased radicality compared with conventional conservative treatment and simplified follow-up. It may be considered in patients with bilateral tumors or tumors of a solitary kidney, and in selected patients with unilateral low-grade, low-stage tumors.
对8例上尿路尿路上皮肿瘤患者进行了肾输尿管切除术、自体肾移植术和肾盂膀胱吻合术。1例患者肿瘤位于孤立肾，2例患者为双侧肿瘤，5例患者为单侧肿瘤。3例患者出现复发性肾盏肿瘤，先后通过经尿道途径进行处理。1例患者在4.5年后因肿瘤浸润复发而不得不切除肾脏。2例患者死亡；尸检时2例病例移植肾的肾盂均无肿瘤。其他5例患者存活且无肿瘤复发。与传统保守治疗相比，该手术意味着更高的根治性且简化了随访。对于双侧肿瘤或孤立肾肿瘤患者，以及部分单侧低级别、低分期肿瘤患者，可考虑采用该手术。
