Purpose: We evaluated results of surgical treatment for renal tumors during six years (1993-1998) at the Department of Urology, Chî RÉy Hospital and research for the incision approach that can satisfy with the principles of radical nephrectomy. Materials and method: A prospective descriptive statistics was performed on 32 radical nephrectomies with the Bevan’s incision. Results: The average kidney tumor size was 9cm. The average operating time was 13037.3 minutes (60-245minutes). The average blood loss was 282157.6 ml (50 - 525ml). The average post-operative staying time was 9.6 2.5days (6-17days). Preoperative complications occurred in 6 out of 32 cases (18.8%), post-operative complications developed in 5 out of 32 cases (15.6%). There was not death. Conclusion: The Bevan’s modified approach is suitable for radical nephrectomy in renal carcinoma
Nephrectomy

We investigated the modified Bevan’s approach for operations of adrenal tumors. A prospective analysis was performed on 26 patients with adrenal tumors seen at Cho Ray hospital between 1/1/1993 to 31/12/1998. The intraoperative and postoperative complication rates were 7.7% and 19.2% respectively; no mortality. The advantage of the modified Bevan’s incision is good for exposure of adrenal, for control of the inferior vena cava and the aorta, and satisfactory for the management of the intraoperative complications.
Neoplasms ; surgery ; therapeutics