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Is there a Place for Conservative Surgery in the Treatment of Renal Carcinoma?
Author(s) -
POPPEL H.,
CLAES H.,
WILLEMEN P.,
OYEN R.,
BAERT L.
Publication year - 1991
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1991.tb15093.x
Subject(s) - medicine , enucleation , surgery , nephrectomy , malignancy , conservative treatment , wedge resection , myocardial infarction , resection , kidney
Summary— Since 1981, 31 patients have undergone conservative surgery for malignant renal tumours and have been followed up for at least 2 years. The techniques included enucleation or resection (wedge resection or partial nephrectomy). In 10 patients the indications for kidney‐sparing surgery were absolute, while in the remainder the conservative surgical approach was a deliberate choice. The tumours varied in diameter from 1.3 to 12 cm and no metastases were detected on pre‐operative screening. One patient died post‐operatively from myocardial infarction. In the remaining 30 there were no local recurrences. Two patients died from skeletal metastases (1 with bilateral malignancy) and 2 underwent surgery in the post‐operative period for haemorrhagic complications. The efficacy of conservative surgery in the local control of renal cancer is an argument in favour of its wider use.