期刊文献+

经腹或胸腹联合扩大根治术治疗肿瘤(附74例报告) 被引量:7

Extended radical transabdominal or transthoraco-abdominal nephrectomy for renal cell carcinoma
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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 外科手术 Kidney neoplasms Cancer Surgery operative
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参考文献1

  • 1郑世广,江苏医药,1984年,10卷,35页

同被引文献16

  • 1陈忠新,杨文质,高麟韬,潘天明,高潮.肾细胞癌的手术治疗(附71例报告)[J].中华泌尿外科杂志,1994,15(1):26-27. 被引量:8
  • 2于力,姜永金,鲍镇美,王翔,卢建路.经腹肾癌扩大根治术[J].中华泌尿外科杂志,1995,16(8):473-474. 被引量:6
  • 3[1]Dekernion J, Beng D. The diagnosis and treatment of renal cell carcinoma [J]. Cancer, 1980,45:1947-1951.
  • 4[2]Ditonno P, Traficante A, Battaglia M, et al. Role of lymphadenectomy in renal cell carcinoma [J]. Prog Clin Biol Res, 1992, 378:169-174.
  • 5[3]Marshall F, Powell K. Lymphadenectomy for renal cell carcinoma: anatomical and therapeutic considerations [J]. J Urol, 1982,128:677-683.
  • 6Dekernion J,Beng D. The diagnosis and treatment of renal cellcarcinoma.Cancer, 1980 ;45:1947
  • 7Ditonno P,Traficante A, Battaglia M, et al. Role of lymphadenectomyin renal cellcarcinoma. Prog Clin Biol Res, 1992 ;378:169
  • 8Marshall F, Powell K. Lymphadenectomy for renal cellcarcinoma: anatomicaland therapeutic considerattions. J Urol, 1982; 128:677
  • 9刘本春,张元芳,王忠,丁强.肾细胞癌骨转移的诊治(附四例报告)[J].中华泌尿外科杂志,1998,19(8):483-485. 被引量:4
  • 10黄翼然,刘东明,周立新,邱丰,薛蔚,郑璐莹,王益鑫,吴家骏,江鱼.双侧肾同时发生肾细胞癌的保肾手术治疗[J].中华泌尿外科杂志,1999,20(2):72-73. 被引量:10

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