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放射治疗与化学疗法对肾癌均不敏感,然而根治性肾切除术也不是决定预后的唯一因素。Robson报告肾癌根治术的远期疗效比单纯肾切除高,但对于孤立肾与双侧肾癌,作肾癌根治术后,病者将失去双肾,等待作肾移植的机会极小,必须依靠透析来过渡,生命的质量受到影响,因此,为了延长生命,从实际出发,作肾部分切除术或肾肿瘤挖出术的姑息息性手术治疗亦屡见报导,并认为对维持生命的质量,保留一定的肾机球,远期疗效要比肾癌根治术为高。本文作者对10例孤立肾与双侧性肾癌;不管病理分级如何,均作肾保存性手术,并对
Radiotherapy and chemotherapy are not sensitive to kidney cancer, however, radical nephrectomy is not the only factor that determines the prognosis. Robson reported that the long-term outcome of radical nephrectomy is higher than nephrectomy alone, but for isolated kidney and bilateral kidney cancer, after radical nephrectomy, the patient will lose both kidneys, waiting for the opportunity for kidney transplantation, must be minimal Depending on the transition from dialysis, the quality of life is affected. Therefore, in order to prolong life, from the actual point of view, palliative surgical treatment for partial nephrectomy or renal tumor excavation is also frequently reported, and it is considered that the quality of life is maintained. , Keep a certain amount of kidney machine ball, the long-term efficacy is higher than the radical nephrectomy. The authors of this paper have performed renal preservation surgery on 10 cases of solitary and bilateral renal carcinoma; regardless of the pathological grade,