Mini-Margin Nephron Sparing Surgery for Renal Cell Carcinoma 4 cm or Less
Joint Authors
Li, Quanlin
Guan, Hongwei
Jiang, Tao
Qin, Jie
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-08-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objectives.
To explore the safety and efficacy of mini-margin nephron sparing surgery (NSS) for renal cell carcinoma (RCC) 4 cm or less.
Methods.
Total of 389 cases of RCC 4 cm or less with normal contralateral kidneys were included in the study, including 135 cases treated by mini-margin NSS, 98 by 1 cm-NSS and 156 by radical nephrectomy (RN).
The clinical results were followed-up and comparatively analyzed.
Results.
The mean and median margin width for mm-NSS was 2.2 and 2.0 mm (range 0 to 5).
Of them, 112 (83.0%) cases had margins of 3 mm or less, and 26 had margins of 0 mm (19.3%).
The mean width of margin for 1 cm-NSS was 11.6 mm (median 12, range 10~15).
None of the NSS patients had positive surgical margins.
The mean follow-up for mm-NSS, 1 cm-NSS and RN patients was 69, 82 and 82 months, respectively.
Three mm-NSS patients, two 1 cm- NSS and four RN patients died of non-cancer related causes.
Two mm-NSS patient (1.6%) experienced local recurrence.
No distant metastasis was detected in all the patients.
The over all 5-year survivals for NSS and RN patients were 100%, 100% and 98.7%, respectively (P=.950).
Conclusions.
Mini-margin NSS is as safe and effective as 1 cm-NSS and RN in treating early localized RCC 4 cm or less.
American Psychological Association (APA)
Li, Quanlin& Guan, Hongwei& Qin, Jie& Jiang, Tao. 2010. Mini-Margin Nephron Sparing Surgery for Renal Cell Carcinoma 4 cm or Less. Advances in Urology،Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-449357
Modern Language Association (MLA)
Li, Quanlin…[et al.]. Mini-Margin Nephron Sparing Surgery for Renal Cell Carcinoma 4 cm or Less. Advances in Urology No. 2010 (2010), pp.1-5.
https://search.emarefa.net/detail/BIM-449357
American Medical Association (AMA)
Li, Quanlin& Guan, Hongwei& Qin, Jie& Jiang, Tao. Mini-Margin Nephron Sparing Surgery for Renal Cell Carcinoma 4 cm or Less. Advances in Urology. 2010. Vol. 2010, no. 2010, pp.1-5.
https://search.emarefa.net/detail/BIM-449357
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449357