肾细胞癌的手术治疗（附71例报告）

Surgical treatment of renal cell carcinoma (Report of 71 cases)

报告７１例肾细胞癌的手术治疗和随访结果。Ⅰ期术后１、３、５和１０年存活率为１００％、９０．９％、８７．５％和６６．６％。Ⅱ期为１００％、８２．６％、５４．５％和３３．３％。Ⅲ期和Ⅳ期为６３．６％、３８．８％、１５％和０。对肾癌根治切除手术切口的选择、淋巴清除的范围和对肾部分切除术治疗肾细胞癌的评价进行讨论。

Surgical treatment has been carried out for 71 cases of renal cell carcinoma. The 1, 3 , 5 and 10 year survival rate was 100. 0% , 90. 9%, 87. 5% and 66. 6% for stage Ⅰ;100. 0% , 82. 6% , 54. 5% and 33. 3% for stage Ⅱ; 63.6% , 38. 5% , 15. 0% and 0% for stage Ⅲ-Ⅳ . The surgical approach and technique of radical nephrectomy were presented and the more conservative surgery for renal cell carcinoma was evaluated.