保留肾单位的肾癌手术(附11例报告)

Nephron-sparing Surgery for Renal Cell Carcinoma

目的:探讨保留肾单位的肾癌手术治疗方法和疗效。方法:对1993年2月～2003年2月共11例经手术和病理证实为肾细胞癌的临床资料进行回顾性分析,其中双侧肾癌3例,孤立肾癌5例,对侧肾有病变或潜在功能受损的肾癌2例,对侧肾正常肾癌1例;11例中6例行肿瘤剜除术,5例行肾部分切除术。结果:本组术后无外科并发症,平均随访40个月,无局部复发和肿瘤转移。结论:对经选择的患者保留肾单位的肾癌手术安全可靠,疗效满意。

Objective:To investigate the method and effect of nephron-spa ring surgery in treatment of renal cell carcinoma. Methods:From February 1993 to Fe bruary 2003,11 cases of renal cell carcinoma confirmed by operation and patholog y were reviewed retrospectively. Of 11 cases, there were 3 patients with bilater al tumors, 5 with solitary kidney tumors, 2 with unilateral tumor and a damaged opposite kidney, and 1 with unilateral tumor and a normal opposite kidney; 6 und erwent tumor enucleation and 5 underwent partial nephrectomy. Results: There wer e no local tumor recurrences and tumor metastasis at a mean follow up of 40 mont hs. Conclusion: Nephron-sparing surgery is considered to be the best alternativ e way in the case of the renal carcinoma of contraletaral ill functional solitar y functioning kidney.