We investigated the outcomes of nephron-sparing surgery in patients with small renal cell carcinomas by retrospectively reviewing the records of 20 elective cases of nephron-sparing surgery performed from 1994 to 2003. All patients had low pathologic stage, localized, unilateral tumors smaller than 4 cm and sporadic renal cell carcinomas. There were no significant differences between mean preoperative serum creatinine levels and postoperative levels. Nephron-sparing surgery may be safe and curative treatment for low pathologic stage, localized, unilateral tumors smaller than 4 cm and sporadic renal cell carcinomas.
Surgical aspects ; Carcinoma, Renal Cell ; Nephron brand of racepinephrine hydrochloride ; seconds ; Small

This is a clinical study of 44 cases of acute laryngitis treated in the department of pediatric, Wallace Memorial Baptist Hospital from Jan. through Feb. 1976, when influenza was nation wide. We observed following results; 1) Among the 44 sases, 23 cases were male and 21 cases were female. There were no sex differences. 2) Families of 26 cases (60%), had influenza at the same time, 40 cases(90%) had preceding U.R.I. and 29cases (66%) had D.P.T. vaccinations more than 3 times. 3) 36cases (82%) were between 7months to 6years of age. 4) The common clinical manifestations were coughing, 40 cases (90%), difficult respiration, 36 cases (82%), retraction of chest wall, 33 cases (75%), hoarseness, 34 cases (77%), and fever, 42 cases(95%). 5) Laboratory findings were as follews; Leukocytosis (over 12,000/mm3) was 13 cases (29%), and leukopenia (under 4,000/mm3) was 2 cases (5%). Pharyngeal culture revealed; no growth, 24 cases (55%), normal flora, 19 cases (43%), and staphylococcus aureus, coagulase + 1case (2%). 6) 29 cases (66%) were improved with cold mist, O2 supply & racemic epinephrine nebulization with IPPB, & 15 cases(34%) required tracheotomy. 7) The complications were1 case of interstitial pneumonia , 1csae of staphylococcal pueumonia & 1 case of pseudomonas pneumonia. The mortality rate was 9%(4 cases). 8) Although we did not do viral studies in these patients (viral study was unable to do in Busan area), in view of the influenza epidemics at the same, time age distribution, clinical manifestations and other laboratory results, we considered that the etiologic agent was probably influenza virus.
Age Distribution ; Busan* ; Coagulase ; Cough ; Female ; Fever ; Hoarseness ; Humans ; Influenza, Human ; Intermittent Positive-Pressure Breathing ; Laryngitis ; Leukocytosis ; Leukopenia ; Lung Diseases, Interstitial ; Male ; Mortality ; Orthomyxoviridae ; Pneumonia ; Protestantism ; Pseudomonas ; Racepinephrine ; Respiration ; Sex Characteristics ; Staphylococcus aureus ; Thoracic Wall ; Tracheotomy ; Vaccination