[Extended operations in kidney tumor].

The authors treated 220 patients with renal tumors. In 22 cases nephrectomy was supplemented by extensive operations: a removal of tumor thrombus from the inferior vena cava--in 6, lymphadenectomy--in 11. Hemicolonectomy was performed in 1 patient, resection of the pancreatic tail and splenectomy--in 3, resection of the diaphragm, the XII and XIth ribs--in one. Eight patients show an over 3 years survival. All operations were accomplished from the thoracoabdominal access, which is considered by the authors to be the method of choice in patients with tumor of the kidneys. The authors emphasized the necessity of the complex examination of patients with subsequent working out of the unique roentgenotopographic scheme.