[Experience with tumors in solitary kidneys without hypothermia nor extracorporal surgery (author's transl)].
Our experience with carcinoma in solitary kidney is presented. We prefer the enucleation of the tumor or the partial resection of the kidney in normothermic ischemia. Two patients underwent total nephrectomy and hemodialysis. 5 patients with carcinoma in a solitary kidney survived an average of 20 months (max. 6 years), 5 patients died on an average of 21 months (1 week - 5 1/2 years). 2 out of 5 patients with simultaneous bilateral kidney tumors died 1 and 33 months after the operation, the 3 others survived 2-44 months till now. Enucleation and partial resection as therapy for tumors in solitary kidney can be recommended. The results are good concerning survival and renal function. The histology of bilateral kidney-tumors (consecutive or simultaneous) shows the criteria of primary carcinoma.
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D007668:Kidney / Q000002:abnormalities* / Q000098:blood supply; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000601:surgery*; D011379:Prognosis; D006435:Renal Dialysis; D014567:Urography
Erfahrungen mit Tumoren in Einzelnieren - ohne Hypothermie und extracorporale Chirurgie.