Pizzocaro G, Piva L, Salvioni R
Eur Urol. 1983;9(1):10-2. doi: 10.1159/000474034.
Lymph node dissection is an essential step in radical nephrectomy for renal cell carcinoma, but lymph node metastases are present in no more than 15% of category M0 renal cell cancers and the cure rate of patients with lymph node involvement is usually poor. Therefore it can be assumed that less than 5% of patients benefit from lymphadenectomy. Lymph node dissection of limited extent is useful in enabling easier control of the great vessels, and radical dissection may be confined to patients of high T categories in whom the chance for nodal involvement is higher.
淋巴结清扫是肾细胞癌根治性肾切除术的一个重要步骤，但在M0期肾细胞癌中，淋巴结转移的发生率不超过15%，且有淋巴结受累的患者治愈率通常较低。因此，可以推测，受益于淋巴结切除术的患者不到5%。有限范围的淋巴结清扫有助于更轻松地控制大血管，而根治性清扫可能仅限于T分期较高、淋巴结受累几率较高的患者。
