Comparison of Different Surgical Treatments for Solitary Adrenal Metastasis Following Nephrectomy in Patients with Renal Cell Carcinoma：18 Cases Report
- VernacularTitle:肾癌术后肾上腺孤立转移灶的外科治疗方式比较：18例经验报告
- Author:
Jia LIU
;
Wei YU
;
Peng DU
;
Qun HE
;
Jie JIN
;
Liqun ZHOU
;
Wenke HAN
;
Yong YANG
- Publication Type:Journal Article
- Keywords:
renal cell carcinoma;
adrenal;
metastases;
laparoscopy;
adrenalectomy
- From:
Journal of China Medical University
2015;(12):1125-1128
- CountryChina
- Language:Chinese
-
Abstract:
Objective to investigate the feasibility and outcomes of different surgical treatments for adrenal metastasis after previous radical ne-phrectomy for patients with renal cell carcinoma. Methods A total of 18 adrenal solitary metastasis of renal cell carcinoma were identified from da-tabase of two institutions between 2003 and 2013. Clinical and pathologic data were collected and analyzed. Results Of 9 patients who had ipsilater-al metastasis of the renal tumor,the estimated blood loss were obviously fewer in the transperitoneal LA group. Of 9 cases who had contralateral me-tastasis of the renal tumor,the fasting time[(1.4±0.8)h vs(4.0±1.4)h,P = 0.036]and length of hospital stay[(4.5±1.2)d vs(7.0±4.5)d,P =0.041]were obviously fewer in the retroperitoneal LA group. the averages of the fasting time and length of hospital stay in the retroperitoneal LA group were obviously smaller than in the transperitoneal LA group. Conclusion LA for treatment of renal cell carcinoma metastasis is technically feasible in selected patients. transperitoneal and retroperitoneal LA can be respectively recommended as an appropriate approach for isolated adrenal metastases of ipsilateral and contralateral renal cell carcinoma after nephrectomy.
