Outcome of Stage T2 or Greater Renal Cell Cancer Treated With Partial Nephrectomy
作者： Rodney H. Breau , Paul L. Crispen , Rafael E. Jimenez , Christine M. Lohse , Michael L. Blute
DOI: 10.1016/J.JURO.2009.11.037
关键词:
摘要: Purpose: Partial nephrectomy for stage T1 renal cell carcinoma is oncologically efficacious and safe, may have survival advantages. We describe our experience with partial T2 or greater cancer.Materials Methods: Between 1970 2008 approximately 2,300 nephrectomies were done at institution, including 69 sporadic unilateral advanced tumors (pT2 in 32, pT3a 28 pT3b 9). reviewed outcomes these patients compared to those 207 treated radical matched 3:1 stage, tumor size, baseline function, age gender.Results: The risk of cancer specific (HR 0.80, 95% CI 0.43–1.50, p = 0.489) overall 1.11, 0.72–1.71, 0.642) death was similar nephrectomy. At a median 3.2 years followup 15 (22%) had metastatic disease vs (33%) 0.74, 0.42–1.29, 0.29). Four (6%) isolated loc...
elsevier.com
jurology.com 参考文章(27)
James S. Magera, Igor Frank, Christine M. Lohse, Bradley C. Leibovich, John C. Cheville, Michael L. Blute, Analysis of Repeat Nephron Sparing Surgery as a Treatment Option in Patients With a Solid Mass in a Renal Remnant Journal of Urology. ,vol. 179, pp. 853- 856 ,(2008) , 10.1016/J.JURO.2007.10.049
Raymond J. Joehl, Preoperative evaluation: pulmonary, cardiac, renal dysfunction and comorbidities. Surgical Clinics of North America. ,vol. 85, pp. 1061- 1073 ,(2005) , 10.1016/J.SUC.2005.09.015
Weber K.O. Lau, Michael L. Blute, Amy L. Weaver, Vicente E. Torres, Horst Zincke, Matched Comparison of Radical Nephrectomy vs Nephron-Sparing Surgery in Patients With Unilateral Renal Cell Carcinoma and a Normal Contralateral Kidney Mayo Clinic Proceedings. ,vol. 75, pp. 1236- 1242 ,(2000) , 10.4065/75.12.1236
Paul L. Crispen, Stephen A. Boorjian, Christine M. Lohse, Thomas S. Sebo, John C. Cheville, Michael L. Blute, Bradley C. Leibovich, Outcomes Following Partial Nephrectomy by Tumor Size Journal of Urology. ,vol. 180, pp. 1912- 1917 ,(2008) , 10.1016/J.JURO.2008.07.047
Inderbir S Gill, Louis R Kavoussi, Brian R Lane, Michael L Blute, Denise Babineau, J Roberto Colombo, Igor Frank, Sompol Permpongkosol, Christopher J Weight, Jihad H Kaouk, Michael W Kattan, Andrew C Novick, None, Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. The Journal of Urology. ,vol. 178, pp. 41- 46 ,(2007) , 10.1016/J.JURO.2007.03.038
Laurent Zini, Jean-Jacques Patard, Umberto Capitanio, Maxime Crepel, Alexandre de La Taille, Jacques Tostain, Vincenzo Ficarra, Jean-Christophe Bernhard, Jean-Marie Ferrière, Christian Pfister, Arnauld Villers, Francesco Montorsi, Pierre I. Karakiewicz, Cancer-specific and non-cancer-related mortality rates in European patients with T1a and T1b renal cell carcinoma. BJUI. ,vol. 103, pp. 894- 898 ,(2009) , 10.1111/J.1464-410X.2008.08252.X
Vitaly Margulis, Pheroze Tamboli, Kenneth M. Jacobsohn, David A. Swanson, Christopher G. Wood, Oncological efficacy and safety of nephron-sparing surgery for selected patients with locally advanced renal cell carcinoma BJU International. ,vol. 100, pp. 1235- 1239 ,(2007) , 10.1111/J.1464-410X.2007.07225.X
Osamu Ukimura, Georges-Pascal Haber, Erick M Remer, Inderbir S Gill, None, Laparoscopic partial nephrectomy for incidental stage pT2 or worse tumors Urology. ,vol. 68, pp. 976- 982 ,(2006) , 10.1016/J.UROLOGY.2006.06.010
Steven C. Campbell, Andrew C. Novick, Expanding the Indications for Elective Partial Nephrectomy: Is this Advisable? European Urology. ,vol. 49, pp. 952- 954 ,(2006) , 10.1016/J.EURURO.2006.03.005
Aaron T.D. Clark, Rodney H. Breau, Chris Morash, Dean Fergusson, Steve Doucette, Ilias Cagiannos, Preservation of Renal Function Following Partial or Radical Nephrectomy Using 24-Hour Creatinine Clearance European Urology. ,vol. 54, pp. 143- 152 ,(2008) , 10.1016/J.EURURO.2008.03.037