Clinical study of nephron-sparing surgery for renal cell carcinoma

Yoshinori Shirasaki, Tomoyasu Tsushima, Yasutomo Nasu, Hiromi Kumon, Takaharu Ichikawa, Kenji Aramaki, Seiichi Itoh, Naoki Mitsuhata, Ryuji Fujita, Mitsuo Nishi, Miyabi Inoue, Toshihide Hayashi, Ayano Ishii, Hitoshi Takamoto

Research output: Contribution to journalArticle

Abstract

From January 1995 to June 2001, we performed nephron-sparing surgery (NSS) on 47 patients with renal cell carcinoma. The indication was imperative for 10 patients, but elective for 37 patients. Moreover, we performed renal scintigraphy for the quantitative measurement of postoperative residual renal function in 14 elective cases. Most of the patients were operated on uneventfully, although we experienced postoperative hematoma and urinoma among the elective cases. There were two local recurrences among the imperative cases at median follw-up of 780 days and one incidence of regional lymph node metastasis among the elective cases at median follow-up of 724 days. Postoperative renal scintigraphy showed well-preserved renal function of the operated kidney in all except for 2 cases. The acceptable oncological and functional outcomes support the validity of NSS for treating small renal cell carcinoma in patients with a normal contralateral kidney.

Original languageEnglish
Pages (from-to)242-247
Number of pages6
JournalNishinihon Journal of Urology
Volume65
Issue number5
Publication statusPublished - 2003

Keywords

  • Nephron-sparing surgery
  • Renal cell carcinoma
  • Renal function

ASJC Scopus subject areas

  • Urology

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