Influence of preoperative interventional treatment on operation of middle-advanced kidney cancer
LIU Zhi-jie
LIU Shi-hui
GAI Chun-lian
LI Shi-min
Abstract：Objective To investigate the effect of preoperative interventional chemoembolization on tumor histological structure in middle-advanced kidney cancer and to evaluate the clinical significance.Methods Twenty patients who underwent preoperative embolization plus radical nephrectomy were recruited to embolization group and 20 patients who just underwent radical nephrectomy were selected as control group.The surgical conditions were studied.Results All the patients in embolization group had no serious complications.In embolization group,the amount of blood loss during operation was (183 ± 24)ml and the operation time was (92 ± 7)min,which were significantly lower than those in control group [blood loss during operation:(479 ± 70)ml; operation time:(122 ±10) min; P ＜ 0.05 or P ＜ 0.01].In embolization group,the tumor mass softened; its surface pale and the peripheral veins shrinked and the perinephric edema zone was formed,while in control group the tumor surface blood vessels were extented and tumor tissue was adhered with surrounding tissues and bleeding was easy to occur during dissection.Conclusion The preoperative embolization can decrease operation time and blood loss,and increase operation success rate of middle-advanced kidney cancer.
Keywords：Carcinoma,renal cellCancer chemotherapy,regional perfusionEmbolism
Publication Date：2013-02-28
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：2( 199-200 )