The value of transcatheter arterial embolization before radical nephrectomy in treatment of renal carcinoma
10.3969/j.issn.1671-8348.2015.22.018
- VernacularTitle:肾癌外科根治性切除术前经动脉插管栓塞的临床价值
- Author:
Bin GUAN
;
Xianguo LIAO
;
Pengcheng WEN
;
Yong TANG
- Publication Type:Journal Article
- Keywords:
kidney neoplasms;
auxiliary;
embolization,curative effect
- From:
Chongqing Medicine
2015;(22):3072-3075
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of different transcatheter arterial embolization methods for renal carcino-ma before radical nephrectomy.Methods The related data of 43 patients with renal carcinoma who were confirmed by surgical pa-thology were retrospectively analyzed.Renal artery,renal capsular artery and adrenal artery of lesion side kidney were super-selec-tive embolized before surgery was set as group A,while Lesion side renal artery embolized was set as group B.Direct surgical radical nephrectomy was set as group C.The related data of operation time,ease or complexity of operation,intraoperative blood loss,suc-cess rate of lesion resection and postoperative survival rate were analyzed and compared in the three groups with statistical meth-ods.Results There were significant differences among the three groups in the average operation time,ease or complexity of opera-tion,intraoperative blood loss,success rate of lesion resection and postoperative survival rate (P < 0.01 ).There were significant differences between group A and B about all indexes except success rate of lesion resection(P <0.01).Conclusion The cases with additional transcatheter arterial embolization before radical nephrectomy improved obviously,especially in the cases who underwent completely embolization of lesion side renal artery and renal capsular artery.
