Long-term results of surgical treatment of renal carcinoma in solitary kidneys by extracorporeal resection and autotransplantation.
We describe the technique and present the long-term results of extracorporeal partial nephrectomy and autotransplantation in 6 patients with renal carcinoma. During a follow-up period exceeding 5 years, dialysis was not required and the patients' blood pressure improved or remained within normal limits. One patient died post-operatively from gastrointestinal bleeding. The mean duration of follow-up was 54 months (range 14-97). The alternatives to extracorporeal resection and autotransplantation (such as complete nephrectomy and in situ resection of the tumour) are discussed.
van der Velden
J J
JJ
Department of Surgery, University Hospital, Leiden, The Netherlands.
van Bockel
J H
JH
Zwartendijk
J
J
van Krieken
J H
JH
Terpstra
J L
JL
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000473:pathology; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D014182:Transplantation, Autologous / Q000379:methods*