Kauczor H U, Schadmand-Fischer S, Filipas D, Kersjes W, Steinbach F, Schweden F, Thelen M
Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz.
Rofo. 1994 Mar;160(3):243-8. doi: 10.1055/s-2008-1032414.
Two weeks to 120 months after enucleation of renal tumours the postoperative defects were correctly localized by renal computed tomography in 34 patients. Typical defect morphology was either wedge-shaped or concave. No dependence on tumour localization, tumour size, operative technique or a certain surgeon was observed. The cortical defects were smaller (mean 2.0 cm) than the original, prominent tumours (mean 3.4 cm). In small defects without tension suture of the capsule is sufficient, leading to minor defects. Larger defects were closed with a retroperitoneal or free peritoneal fat flap resulting in larger residual defects. In case of intra- or postoperative bleeding, CT could demonstrate parenchymatous or perirenal haematomas or delayed perfusion of adjacent parenchyma. In one patient a recurrent tumour was correctly diagnosed, different postoperative complications (such as abscesses) were not observed.
肾肿瘤摘除术后2周~120个月，34例患者的术后缺损通过肾脏计算机断层扫描被正确定位。典型的缺损形态为楔形或凹形。未观察到与肿瘤定位、肿瘤大小、手术技术或特定外科医生有关。皮质缺损比原来突出的肿瘤小（平均2.0厘米）（平均3.4厘米）。在无张力缝合包膜的小缺损中就足够了，导致小的缺损。较大的缺损用腹膜后或游离腹膜脂肪瓣封闭，导致较大的残余缺损。在发生术中或术后出血时，CT可显示实质或肾周血肿或相邻实质的延迟灌注。1例患者被正确诊断为复发性肿瘤，未观察到不同的术后并发症（如脓肿）。
