Clinic analysis of nephron sparing surgery for renal angiomyolipoma
- VernacularTitle:保留肾单位手术治疗肾血管平滑肌脂肪瘤的疗效观察
- Author:
Lixin CHEN
;
Jian PANG
;
Xinli YU
- Publication Type:Journal Article
- Keywords:
Kidney neoplasms;
Angiomyolipoma;
Nephron sparing surgery
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of nephron sparing surgery (NSS) for renal angiomyolipoma (RAML). Methods Thirty-nine patients of RAML were underwent NSS. Tumor enucleation was done in 23, partial nephrectomy in 16, and selective arterial embolization in 2. Results The average diameter of enucleated tumor was 5.8 cm(from 3.0 to 14.0 cm), the average of blood loss was 190 ml(from 75 to 800 ml),none of the patients developed hemorrhage or urinary fistula. The average follow-up of 38 patients was 48 months(from 1 to 120 months). Postoperative serum level of creatinine was stable, no patients had a local recurrence. Conclusions NSS can be performed with satisfactory result in RAML. Effective control of hemorrhage and conservancy of renal function are the key points.
