论文部分内容阅读
淋巴结廓清范围是目前肾癌手术治疗中有争论的问题之一,通过本研究,阐述了对这一问题的观点。研究对象是作者本单位及其关联医院从1975～1990年间手术治疗的515例肾癌病例中经病理证明有淋巴结转移的103例(占全病例数20%)患者,其平均年龄为60岁(29～89岁),男:女=81∶22,左:右=53∶49,两侧性1例。术式及廓清范围:经腹式52例,经胸式51例。淋巴结廓清范围,除7例以外96例均为单侧性限局性廓清术,即左肾癌做腹主动脉傍廓清,右肾癌做下腔静脉傍及下腔静脉与腹主动脉之间(达腹主动脉壁)的廓清。无论左肾癌还是右肾癌,廓清上界为肠系膜上动脉起始部,下界为肠系膜下动
The scope of clearance of lymph nodes is one of the controversial issues in the current surgical treatment of renal cancer. Through this study, the viewpoints on this issue are elaborated. The subjects were 103 patients (20% of the total cases) who had pathological evidence of lymph node metastases in the 515 cases of renal cell carcinoma that were surgically treated by the unit and its associated hospital from 1975 to 1990. The average age was 60 years. 29-89 years old, male: female = 81:22, left: right = 53:49, 1 case on both sides. Surgical methods and clearance range: 52 cases by abdominal type and 51 by transthoracic type. Lymph node clearance range, in addition to 7 cases except 96 cases were unilateral local dissection, that is, left kidney cancer as abdominal aortic fistula clearance, right kidney cancer as inferior vena cava and inferior vena cava and abdominal aorta ( Clearance of abdominal aortic wall). Regardless of left kidney cancer or right kidney cancer, the upper border of clear upper mesenteric artery is the upper border, and the lower border is inferior mesenteric artery.