摘要
目的 评价保留肾单位手术治疗肾细胞癌的临床价值。 方法 1994年 3月～ 1998年 12月 ,采用局部低温、保留肾单位手术治疗肾细胞癌 11例 ,其中对侧肾正常者 8例 ,单侧肾癌、对侧肾受损者 2例 ,双侧肾癌者 1例。肿瘤直径 1.5～ 6 .8cm ,平均 3.8cm。Roboson分期Ⅰ期 8例 ,Ⅱ期 3例。 8例行肾部分切除术 ,3例行肿瘤剜除术。 结果 11例随访 3～ 5 7个月 ,平均 36 .8个月。未见并发症及肿瘤局部复发。 结论 保留肾单位手术治疗肾细胞癌安全有效 ,尤其适宜于局限性、体积小和低期肾癌患者。
Objective To evaluate the nephron sparing surgery for renal cell carcinoma. Methods From March 1994 to December 1998,nephron sparing surgery under local hypothermia was undertaken for 11 cases of renal cell carcinoma of which there were 8 with a unilateral tumor and a normal opposite kindey,2 with a unilateral tumor and a damaged opposite kidney and 1 case with asynchronous bilateral renal tumor. The diameter of the tumor ranged from 1.5cm to 6.8cm,with a mean of 3.8cm.8 cases were of Robson I,3 of Robson Ⅱ.8 patients underwent partial nephrectomy and 3 tumor enucleation. Results The patients have been followed up for 3 to 57 months with a mean of 36.8 months.No surgical complication or local tumor recurrence has been observed.Only one patient experienced some temporary renal function damage recovered after one week. Conclusions Nephron sparing surgery is safe and effective for the treatment of renal cell carcinoma and is especially indicated for patients with a small,localized low stage renal tumor.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第4期199-201,共3页
Chinese Journal of Urology
