Pytel' Iu A, Aliaev Iu G
Vestn Khir Im I I Grek. 1977 Feb;118(2):56-61.
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.
作者对220例肾肿瘤患者进行了治疗。22例患者在肾切除术后还进行了广泛手术：6例患者进行了下腔静脉肿瘤血栓切除术，11例患者进行了淋巴结清扫术。1例患者进行了半结肠切除术，3例患者进行了胰尾切除和脾切除术，1例患者进行了膈肌、第12肋和第11肋切除术。8例患者存活超过3年。所有手术均通过胸腹联合切口完成，作者认为这是治疗肾肿瘤患者的首选方法。作者强调了对患者进行综合检查并制定独特的X线拓扑学方案的必要性。
