근치적 신적출술과 광범위 후복막 임파절 절제술로 치료한 신세포암 19례에 대한 임상적 관찰
Radical Nephrectomy with Extended Retroperitoneal Lymphadenectomy in Renal Cell Carcinoma: Review of 19 Cases
소속 상세정보
진웅용/Jin WY
임수길/Lim SK
KMID : 0358319850260060639
Abstract
A clinical observation was made on 19 patients of renal cell carcinoma who were treated by radical nephrectomy with extended retroperitoneal lymphadenectomy in the Department of Urology, Catholic Medical College during the period from May, 1980 to August, l985. Results were as follows;
1. Clinical stages by Robson`s staging system were 7 cases of stage I, 6 cases of stage II, 5 cases of stage III and 1 case of stage IV. Acuracy rate of clinical staging was 68.4%.
2. Pathologic stages were 8 cases of stage I, 5 cases of stage II, 4 cases of stage HI and 2 cases of stage IV.
3. Metastatic sites were perirenal fat(5 cases), regional lymphnode (2 cases), vessel(4 cases) and lung (2 cases). The rate of regional lymphnode involvement was 10.5%.
4. Postoperative complications were colocutaneous fistula (1 case), prolonged ileus (1 case) and pleural effusion (1 case).
5. Out of 19 cases 13 cases were alive without recurrence, 2 cases were alive with metastasis, 3 cases died with recurrence and 1 case died with other cause. 1 year survival rate was 77.8%.
키워드
신종양;신세포암;근치적신적출술;후복막임파절절제술;renal cell carcinoma;radical nephrectomy
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