针对冯·希佩尔-林道病肾细胞癌的保留肾单位手术
Nephron sparing surgery for renal cell carcinoma in von Hippel-Lindau disease.
作者信息
Shinohara N, Nonomura K, Harabayashi T, Togashi M, Nagamori S, Koyanagi T
机构信息
Department of Urology, Hokkaido University, School of Medicine, Sapporo City General Hospital, Japan.
出版信息
J Urol. 1995 Dec;154(6):2016-9.
PURPOSE
We evaluated the technical feasibility and followup outcomes of a nephron sparing operation for localized renal cell carcinoma and von Hippel-Lindau disease.
MATERIALS AND METHODS
Our 5 patients underwent initial nephron sparing surgery followed by serial computerized tomography.
RESULTS
All but 1 renal lesion was resected in 9 initial nephron sparing operations. Postoperative computerized tomography revealed 35 lesions of which 8 had enlarged. Four patients underwent secondary renal surgery and adequate renal function was preserved.
CONCLUSIONS
Even with the high risk of local recurrence nephron sparing surgery is an appropriate approach for these patients.
目的
我们评估了保留肾单位手术治疗局限性肾细胞癌和冯·希佩尔-林道病的技术可行性及随访结果。
材料与方法
我们的5例患者接受了初次保留肾单位手术，随后进行系列计算机断层扫描。
结果
在9例初次保留肾单位手术中，除1个肾病灶外，其余所有病灶均被切除。术后计算机断层扫描显示有35个病灶，其中8个增大。4例患者接受了二次肾脏手术，肾功能得以保留。
结论
即使局部复发风险较高，保留肾单位手术仍是这些患者的合适治疗方法。
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