[Renal cancer--a retrospective study of 368 patients].
BACKGROUND
We wanted to evaluate our treatment results for renal cell carcinoma (RCC).


METHODS
A retrospective study of 368 patients operated with nephrectomy between 1978 and 2000 was carried out.


RESULTS
29% of the renal cell carcinomas were diagnosed incidentally and we observed a significant increase in this respect between the first and second half of the study. 18% had postoperative complications and 3% had major complications needing reoperation. 2% of the nephrectomies on the left side were complicated with splenectomy. 11 patients (3%) died within 30 days, most of the deaths occurring in the early part of the study period. Five-year cancer-specific survival rates were: 92% for stage 1; 83% for stage 2; 67% for stage 3; and 16% for stage 4. No differences were encountered between transabdominal and retroperitoneal surgical approaches in terms of cancer-specific survival.


CONCLUSIONS
Increasing numbers of incidentally detected tumours have been observed. Our survival, complication and mortality rates are comparable to those in other reports.
Beisland
Christian
C
Kirurgisk avdeling Oppland sentralsykehus Lillehammer 2629 Lillehammer. christian.beisland@haukeland.no
Medby
Per Christian
PC
Beisland
Hans Olav
HO
D000293:Adolescent; D000328:Adult; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000401:mortality; D012086:Reoperation; D012189:Retrospective Studies; D015996:Survival Rate