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題名 | Value of Preoperative Transcatheter Arterial Embolization for Renal Cell Carcinoma: Ten-Year Experience in Mackay Memorial Hospital=腎細胞癌術前行經導管動脈栓塞術之評估--馬偕紀念醫院十年之經驗 |
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作者姓名(中文) | 王振明; 羅景易; 林文州; 張奐光; 周固; 楊志東; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷期 | 9:2 1998.06[民87.06] |
頁次 | 頁55-58 |
分類號 | 416.273 |
關鍵詞 | 經導管動脈栓塞術; 腎細胞癌; Transcatheter arterial embolization; Renal cell carcinoma; |
語文 | 英文(English) |
中文摘要 | 經導管動脈栓塞術,於西元 1969 年開始被發現,基於文獻回顧,腎細胞癌行 腎全切除術前行經導管動脈栓塞術,使手術減少出血。為評估此療法,馬偕紀念醫院於 1984-1994,將 55 個腎細胞癌行腎全切除病人分為兩組,腎細胞癌行腎全切除術前行經導 管動脈栓塞術( 22 個)腎細胞癌行腎全切除前未行經導管動脈栓塞術( 33 個)做一評估 。在手術時間,出血量,術中輸血量方面,若腫瘤小於 250ml,於兩組間沒差別,若腫瘤大 於 250ml,手術中出血量,術中輸血量方面減少,手術時間亦減少。 |
英文摘要 | Based on literature review, TAE will facilitate the surgical procedure, reduce transfusion requirement during nephrectomy for renal cell carcinoma (RCC). To evaluate these effects, a consecutive series of 55 patients who underwent nephrectomy for RCC from 1984 to 1994 in Mackay Memorial Hospital were divided into two groups, prenephrectomy TAE (n=22) vs. nephrectomy without TAE (n=33) and studied retrospectively. The operative time, blood loss and intraoperative blood transfusion requirements were assessed. Our study showed that the operative time, blood loss and transfusion volume are not significantly different in both groups if the tumor volume is <250ml. On the other hand, for tumor volume >250ml, blood loss and transfusion volume are reduced in embolized group. The operative time is also reduced. In conclusion, a complete preoperative TAE reduces the blood loss, blood transfusion during nephrectomy and shorten operative time. |
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