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作者共对100例肾细胞癌患者施行保守性手术。56例是双侧肾癌,同时发病和非同时发病各28例,后者曾行对侧根治性肾切除。44例单例肾癌,其中40例对侧肾脏缺如或无功能或有良性疾病,只有4例对侧肾脏正常。所有病人均施行局部病灶完整切除术。同时发病的双侧肾癌,23例行一侧肾部分切除,结侧根治性肾切除术;5例双侧肾部分切除术。绝大多数双肾手术分期施行。肿大或可疑的淋巴结取活检,外观正常淋巴结不处理。86例行原位保守性手术,14例行体外手术并做肾自体移植。
The authors performed conservative surgery on 100 patients with renal cell carcinoma. 56 cases were bilateral renal cell carcinoma, with 28 cases of simultaneous and non-simultaneous pathogenesis, and the latter had undergone contralateral radical nephrectomy. In 44 cases of single-cell renal cell carcinoma, 40 cases of contralateral kidney were absent or had no function or had benign disease, and only 4 cases of contralateral kidney were normal. All patients underwent a complete resection of the lesion. Simultaneously with bilateral renal cell carcinoma, 23 patients underwent partial resection of the lateral kidney and unilateral radical nephrectomy; 5 patients underwent bilateral partial nephrectomy. Most kidney operations are performed in stages. A swollen or suspicious lymph node biopsy was performed, and normal appearance of lymph nodes was not treated. 86 patients underwent in situ conservative surgery, 14 underwent in vitro surgery and autotransplantation of the kidney.