微创手术在多中心性肾细胞癌的应用(附31例报告)

The role of minimally invasive surgery in multifocal renal cell carcinoma (Report of 31 cases)

目的:评价腹腔镜下根治性肾切除术、保留肾单位手术以及射频消融术在多中心性肾细胞癌治疗中的临床价值,探索多中心性肾细胞癌的最佳治疗手段.方法:回顾性分析2009年1月~2013年5月31例多中心性肾细胞癌微创手术治疗的患者临床资料(肿瘤最大直径1.7~6.0 cm,均为T1期(2009年TNM标准).结果:术后30例(30/31)获随访随访时间4~55个月,平均随访28个月,1例出现转移.结论:初步数据证明多中心性肾细胞癌的微创手术治疗是可行的,为进一步考证其肿瘤学结果需要更大样本和长期的随访验证.

Objective:To evaluate the role of laparoscopic or retroperitoneoscopic radical nephrectomy,partial nephrectomy and radio frequency ablation in patients with multifocal renal cell cancers and find a better surgical approach for these patients.Methods:We retrospectively analyzed the clinical information of a total of 31patients with multifocal renal cell carcinomas treated with minimally invasive surgery between May 2009and May 2013.The tumor diameter ranged from 1.7cm to 6cm,all tumors were in T1(2009TNM staging system).The feasibility of minimally invasive surgery for these patients was evaluated.Results:30of 31patients were followed up for an average period of 28months(range from 4to 55months).Metastasis was found in 1patient.Conclusions:Minimally invasive surgery for patients with multifocal renal cell cancers is a feasible approach.Both larger sample and longer follow-up period are necessary to verify its oncological outcomes.