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肾肿瘤的外科治疗已有相当大的进展。本世纪上半叶,单纯性肾切除为标准的治疗方法。1969年Robson等对肾细胞癌采用较广泛的根治性肾切除术及淋巴结切除术提高了生存率。最近又有人报道了区域性淋巴结清扫范围的根据。1950年Vermooten重新提出肾部分切除治疗肾细胞癌的概念。由于技术问题和对肿瘤控制不佳,最初肾部分切除的疗效较差,但以后生存率有了改善。1945年Vest提出在经选择的肾移行细胞癌患者中局部切除肿瘤可获良好长期疗效,但至今肾输尿管切除术仍是标准的外科治疗。为评价肾肿瘤的原位手术疗效,我们对10例肾细胞癌和5例肾移行细胞癌患者进行了研究。原位手术
Surgical treatment of renal tumors has made considerable progress. In the first half of this century, simple nephrectomy was the standard treatment. In 1969, Robson et al.’s use of more extensive radical nephrectomy and lymph node resection for renal cell carcinoma improved survival. Recently, the basis of regional lymph node dissection was also reported. In 1950 Vermooten renewed the concept of partial nephrectomy for renal cell carcinoma. Due to technical problems and poor control of the tumor, the initial partial nephrectomy was less effective, but the survival rate improved later. In 1945, Vest proposed that long-term curative effect can be obtained by local resection of tumors in selected patients with renal transitional cell carcinoma. However, until now, renal ureterectomy is still the standard surgical treatment. To assess the efficacy of in situ surgery for renal tumors, we studied 10 patients with renal cell carcinoma and 5 patients with renal transitional cell carcinoma. In situ surgery