摘要
1981年7月~1991年6月应用经腹、胸腹联合径路行扩大根治术治疗肾癌74例,其中经腹66例,胸腹联合切口8例。淋巴结清扫范围按Marshall阐述的淋巴回流途径,阳性淋巴结检出率18.9%。术后5年生存率Ⅰ~Ⅱ期79.2%,Ⅲ期50%,Ⅳ期25%。与国外资料结果相似。认为只要无确切的远处转移。系统性淋巴结清扫术对肾癌各期的患者是有益的,尤其是Ⅰ~Ⅱ期患者的效果更佳。经腹、胸腹的径路手术野暴露良好、出血少、操作方便。
In a retrospective study, 74 cases of renal cell carcinoma undergone extended radical transabdominal or transthoraco-abdominal nephrectomy from 1981 to 1991 were reviewed. 66 were operated via the transabdominal route and 8 via the transthoraco-abdominal route. Extended lymphadeneetomy was carried out in all and the positive regional lymph node metastasis rate was 18. 9%. The 5 year survival rate of Robson stage Ⅰ and Ⅱ patients has been 79.2%, stage Ⅲ being 50% and stage Ⅳ 25%. So, extended lymphadenectomy was adviced for renal cell carcinomal without distant metastasis especially in Robson stage Ⅰan Ⅱcases and the transabdominal or transthoraco- abdominal route was preferable so as to achieve better exposure and less bleeding.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1994年第1期24-25,共2页
Chinese Journal of Urology
关键词
肾肿瘤
癌
外科手术
Kidney neoplasms Cancer Surgery operative