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題名 | Combined Surgery for Intra-Abdominal Extra-Urinary Lesions in Patients with Renal and/or Ureteral Malignancies=腎臟或輸尿管惡性腫瘤病患在接受根除性手術時合併腹腔內非泌尿系統病灶之評估 |
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作者 | 王祚軒; 謝明里; 黃世聰; 王大民; 崔克宏; 張慧朗; | 書刊名 | 長庚醫學 |
卷期 | 27:7 民93.07 |
頁次 | 頁523-530 |
分類號 | 415.8 |
關鍵詞 | 腎臟腫瘤; 輸尿管腫瘤; 合併; 非泌尿系統病灶; Renal cancer; Ureteral cancer; Synchronous; Extra-urinary lesion; |
語文 | 英文(English) |
中文摘要 | 背景:面對腎臟或輸尿管惡性腫瘤,根除性分除手術是標準治療方式。但是,術前或術中有時會發腹腔內合併非泌連系統病灶。面研究之目的乃報告11年來的經驗。 方法:於1991年至2001年,計有1,059個病患因腎臟或輸尿管惡腫瘤接受根除性切除手術,其中有37個病患在術中同時接受腹腔內非泌尿系統病灶之分(Group A),我自另外隨機選取37個只接受腎臟或輸管惡性腫瘤根除性分除手術的病患(Group B)做比較。 結果:最常見的腔內非泌尿系統病灶在膽囊。不論年、性別、術前評估或腎臟或輸尿管惡性腫瘤的比理發現在兩組都沒有特吸的不同,雖然合併腹腔內非泌尿系統病灶有較多的術中失血(p=0.8621)、較長的術後併院天數(p=0.3414)、較高的合併症發生率(p=0.208),但都沒有統計學上的意義。 結論:腎臟或輸尿管惡性腫瘤病患在接受根除性憤通時點併腹腔內非泌尿系統病灶之切除是可行的。 |
英文摘要 | Background: The standard treatment for patients with renal and/or urethral malignancies is radical nephrectomy or nephroreterectomy. Frequently, intra-abdominal extra-urinary lesions are noted preoperatively or intra-operatively in the gastrointestinal or gynecologic tract. We reviewed our experience with patients during an 11-year period. Methods: From 1991 through 2001, 1059 patients underwent radical operations for renal and/or ureteral malignancies. Of these, 37 patients had simultaneous intra-abdominal extra-urinary lesions preoperatively or intra-operatively and underwent surgery for these lesions at the same time as nephrectomy or nephroureterectomyu. These patients were designated as group A and were compared with group B patients who underwent only radical urological surgery. Results: The distributions of age, gender, preoperative evaluations, and histology did not differ significantly between the groups. The most common intraabdominal extra-urinary lesion was located in the gall bladder (51.4%). Although intra-operative blood loss (p=0.8621), longer postoperative hospital stays (p=0.3414), and higher complication rates (p=0.208) than those who did not, the differences were not significant. Conclusions: Given radical operations for renal and/or urethral malignancies, synchronous surgery for intra-abdominal extra-urinary lesions is feasible and safe with thorough postoperative care. |
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