Nephron-Sparing Surgery Compared With Radical Nephrectomy for Renal Tumors: Current Indications and Results
| Autor: | L. K. Lloyd, Anton J. Bueschen, D A Urban, John R. Burns, Ramaiah Indudhara |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Nephron urologic and male genital diseases Nephrectomy Asymptomatic Postoperative Complications Renal cell carcinoma medicine Carcinoma Humans Carcinoma Renal Cell Aged Neoplasm Staging Kidney medicine.diagnostic_test business.industry Nephrons General Medicine Middle Aged medicine.disease Kidney Neoplasms Surgery Treatment Outcome medicine.anatomical_structure Abdominal ultrasonography Female medicine.symptom business Kidney disease |
| Zdroj: | Southern Medical Journal. 90:982-985 |
| ISSN: | 0038-4348 |
| DOI: | 10.1097/00007611-199710000-00003 |
| Popis: | Background Small asymptomatic solid renal masses are being found more often through the frequent use of abdominal ultrasonography and computed tomography. Nephron-sparing renal surgery is being done more often to treat these small lesions. A retrospective review was done to determine the effectiveness of this treatment. Methods Patients who had nephron-sparing renal surgery (group 1-35 patients) were compared with those who had radical nephrectomy (group 2-71 patients) for renal cell carcinoma smaller than 5 cm. Results The two groups had only small differences in fall in hematocrit, transfusion rates, operative time, and hospital stay. Major surgical complications were more frequent in group 1. After a median follow-up of 3.1 years, there has been no recurrence of tumor and there were no surgery-related or cancer-related deaths in either group. Conclusion Nephron-sparing renal surgery appears to be a safe and effective alternative to radical nephrectomy for localized small renal tumors. |
| Databáze: | OpenAIRE |
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