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功能孤立肾肾盂癌的体外部分肾切除术及部分肾自体移植术:病例报告

Ex vivo partial nephrectomy and partial kidney autotransplantation for renal pelvic carcinoma in a functionally solitary kidney: case report.

作者信息

Nishiyama T, Terunuma M, Tanikawa T, Takahashi K

机构信息

Department of Urology, Koseiren Nagaoka Chuo General Hospital, Niigata, Japan.

出版信息

Int J Urol. 1997 Jul;4(4):425-7. doi: 10.1111/j.1442-2042.1997.tb00221.x.

DOI:10.1111/j.1442-2042.1997.tb00221.x
PMID:9256337
Abstract

A 46-year-old Japanese man was diagnosed with a left renal pelvic carcinoma and a contralateral hypoplastic kidney. The tumor was adjacent to the renal pelvis and was considered too difficult to completely resect in situ. The patient was treated by ex vivo partial nephrectomy of the left kidney followed by autotransplantation of the remaining renal segment. A pathologic evaluation revealed a transitional cell carcinoma, G2, pT3. Graft function recovered satisfactorily postautotransplantation and no significant complications developed during the postoperative period. The patient is alive and doing well 12 months postoperatively with no evidence of tumor recurrence.

摘要

一名46岁的日本男性被诊断出患有左肾盂癌和对侧肾发育不全。肿瘤毗邻肾盂,被认为原位完全切除过于困难。该患者接受了左肾离体部分肾切除术,随后将剩余肾段进行自体移植。病理评估显示为移行细胞癌,G2,pT3。自体移植后移植肾功能恢复良好,术后期间未出现明显并发症。患者术后12个月存活且状况良好,无肿瘤复发迹象。

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