EVALUATION OF THE RESULTS
AFTER NEPHRON-SPARING SURGERY
FROM ELECTIVE INDICATIONS IN PATIENTS
WITH KIDNEY CARCINOMA
Article published in Urologia Polska 2000/53/1.
authors
-
Mieczysław Fryczkowski, Andrzej Potyka, Andrzej Paradysz
- Katedra i Klinika Urologii ¦LAM w Zabrzu
Kierownik Kliniki: prof. dr hab. n. med. M. Fryczkowski
keywords
-
kidney neoplasma nephron sparing surgery
summary
- Objective. The aim of the study is retrospective analysis after nephron-sparing
- surgery of 60 patients, performed due in unilateral smali kidney tumors in
- period from 1988 to 1999 years.
- Material and method. The control study was performed according to EORTC
- direction, ranged from 6 to 140 months after surgery. We have treated 28 women
- and 32 men in average age 53.7 year. 12 patients had partial nephrectomy made
- and the remaining 48 had the tumor enucleated.
- Results. Mean obserwation time was 52.7 months. Local recurrence had 8.3%
- and distant metastases with death 1.6% patients.
- Conclusion. 1. Nephron-sparing surgery is safe alternative for radical surgery
- of tumors to 4 cm in diameter. 2. Prospective 5-years survival time is in 98%
- and without recurrence and metastases in 90% patients. 3. Positive prognostic
- factors are different histopathologic structure then ca. clarocellulare, incidental
- tumor findings and female sex.
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