孤立性和双侧肾癌的保守性手术：适应证及技术要点

Conservative surgery in solitary and bilateral renal carcinoma: indications and technical considerations.

作者信息

Palmer J M, Swanson D A

出版信息

J Urol. 1978 Jul;120(1):113-7. doi: 10.1016/s0022-5347(17)57064-0.

Abstract

Seven patients presented with solitary or bilateral renal carcinoma. All 4 patients treated by partial nephrectomy are well and 3 are free of disease (followup of 24 to 32 months). A survey of similar series reveals a survival of 78 per cent in patients with solitary renal tumors undergoing partial nephrectomy (mean followup of 52 months). Since the projected survival in patients undergoing chronic hemodialysis for the same interval is only 65 per cent partial nephrectomy, when technically feasible, would appear to be the treatment of choice in solitary renal carcinoma. In cases involving bilateral lesions the survival rate after partial nephrectomy seems to be similar to that of cases on hemodialysis.

摘要

7例患者出现孤立性或双侧肾癌。接受部分肾切除术治疗的4例患者情况良好，3例无疾病（随访24至32个月）。对类似系列病例的调查显示，接受部分肾切除术的孤立性肾肿瘤患者的生存率为78%（平均随访52个月）。由于在相同时间段内接受慢性血液透析的患者预计生存率仅为65%，因此在技术可行的情况下，部分肾切除术似乎是孤立性肾癌的首选治疗方法。在涉及双侧病变的病例中，部分肾切除术后的生存率似乎与血液透析病例相似。