保留肾单位肾部分切除术治疗偶发性肾癌19例临床分析

Clinical analysis of nephron-sparing surgery in treatment of 19 cases with incidental renal cell carcinoma

目的:观察保留肾单位肾部分切除术(NSS)治疗偶发性肾癌的临床效果。方法:对19例偶发性肾癌患者进行NSS治疗,术中均行低温下肾动脉阻断。每3个月行腹部CT、B超及尿常规、肾功能检查。结果:19例手术均顺利完成,术后继发性出血1例,漏尿1例。随访6～24个月,无局部复发和远处转移。结论:选择合适的病例,NSS治疗偶发性肾癌是安全有效的。

Objective ：To observe the clinical effects of nephron-sparing surgery on incidental renal cell carcinoma（RCC）. Methods： The data of 19 incidental RCC patients underwent nephron-sparing surgery were retrospectively analyzed. Renal artery of all cases were blocked at lower temperatures. The CT and ultrasound of abdomen, urinalysis and kidney functions were examined per 3 months. Results：The operation of 19 cases were successfully completed and 1 case with secondary bleeding and 1 case with urinary fistulas were found at postoperative. All patients were followed up for 6 to 24 months, no case with local recurrence or distant metastasis was detected. Conclusions ： Nephron-sparing surgery is safe and effective way for treatment of incidental RCC patients.