Abstract | OBJECTIVE: METHODS: RESULTS: In cases of nephrectomy, the operating time ranged from 60 - 135 minutes and blood loss 70 - 100 ml. In 4 cases, membrana pleuro-peritonealis was damaged. The fasting time ranged from 6 - 24 hours and postoperative hospital stay 5 - 8 days; the staging of all 69 cases was detected; follow-up studies ranged from 5 - 15 years, finding 1 case tumor metastasis in adrenal body and 1 case recurrent tumor in cases of radical nephrectomy, operating time ranged from 105 - 185 minutes and blood loss 150 - 2000 ml. Membrana pleuro-peritonealis was breached in 3 cases. The fasting time ranged from 12 - 90 hours and postoperative hospital stay 8 - 12 days. The staging of all 65 cases was detected. Follow-up studies of 5 - 15 years revealed 1 case of tumor metastasis in brain and 1 case of recurrent tumor. There was no significant difference in perioperative complication, tumor recurrence, tumor metastasis and survival time without tumor between those two groups (P > 0.05). The blood loss, operating time, fasting and postoperative hospital stay were less than that in radical nephrectomy group (P < 0.05). CONCLUSION: In patients without metastasis in lymphatic system and distant sites, nephrectomy is both effective and safe. It has the advantages of a short operating time, a short postoperative hospital stay and less damage and blood loss than radical nephrectomy.
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Authors | Hong-yuan Yu, Bai-kang Chen, Xian-jun Zhang, Fei-ping Li, Tian-ji Wang, Chong-biao Ding, Song-jiang Wu, Zi-wen Lu, Mang Ke, Wen-gang Zhang |
Journal | Zhonghua yi xue za zhi
(Zhonghua Yi Xue Za Zhi)
Vol. 90
Issue 16
Pg. 1120-2
(Apr 27 2010)
ISSN: 0376-2491 [Print] China |
PMID | 20646431
(Publication Type: Comparative Study, English Abstract, Journal Article, Randomized Controlled Trial)
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Topics |
- Adult
- Aged
- Carcinoma, Renal Cell
(surgery)
- Female
- Follow-Up Studies
- Humans
- Kidney Neoplasms
(surgery)
- Male
- Middle Aged
- Nephrectomy
(methods)
- Survival Rate
- Treatment Outcome
- Young Adult
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