Palmer J M
JAMA. 1983 May 6;249(17):2357-61.
Partial nephrectomy was carried out successfully in seven of eight cases of solitary or bilateral renal carcinoma. Although three patients with bilateral sequential lesions died of subsequent metastatic disease, their deaths occurred after 33 to 52 months of productive life without the need for end-stage treatment of renal disease. One patient died free of disease of myocardial infarction at 45 months, and the remaining three were alive without evidence of tumor 62, 76, and 85 months after the procedure. No patient suffered local recurrence of tumor, and the need for dialysis in three patients was only temporary. Partial nephrectomy is a viable option in the management of solitary or bilateral renal carcinoma.
8例孤立性或双侧肾癌患者中有7例成功实施了部分肾切除术。尽管3例双侧相继发病的患者死于后续转移性疾病，但他们是在33至52个月的有效生存期后死亡的，无需接受肾病终末期治疗。1例患者在45个月时死于心肌梗死，未患肿瘤，其余3例在手术后62、76和85个月时存活，无肿瘤迹象。没有患者出现肿瘤局部复发，3例患者对透析的需求只是暂时的。部分肾切除术是治疗孤立性或双侧肾癌的可行选择。
