The clinical efficacy of the different margins in nephron-sparing operation for small renal cell ;carcinoma
10.3760/cma.j.jssn.1673-4904.2016.09.014
- VernacularTitle:两种不同切缘保留肾单位手术治疗小肾癌临床疗效对比
- Author:
Hongchuan YU
;
Weiyi ZHONG
;
Xuewei YU
- Publication Type:Journal Article
- Keywords:
Small renal cell carcinoma;
Nephron-sparing surgery;
Surgical margin
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(9):814-816
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of different margins in nephron-sparing operation for patients with small renal cell carcinoma. Methods From September 2008 to April 2013, a total of 64 patients with local renal cell carcinoma (T1a period) and treated with nephron-sparing operation were selected, and the clinic data were analyzed. According to cutting edge size gotten from the surgery, the patients were divided in to A group (cutting edge 1-5 mm group, 30 cases) and B group (cutting edge 6-10 mm group, 34 cases). The operation condition and recurrence rate and survival rate of two groups were compared. Results The operative time in A group was significantly shorter than that in B group:(130.1 ± 24.0) min vs. (152.3 ± 28.0) min, P<0.05. The drainage time and the level of serum creatinine in two groups had no significant differences (P>0.05). The 3-year recurrence rate and 3-year survival rate in two groups had no significant differences (P>0.05). Conclusions The clinical efficacy of different margins in nephron-sparing operation for small renal cell carcinoma is similar. But 1- 5 mm cutting edge size nephron-sparing operation has less complications, and the recurrence rate and survival rate does not increase. It is worthy of spread .
