title: [Nephrectomy for renal cell carcinoma in combination with simultaneous major surgical procedures in a primary surgical hospital].
abstract: BACKGROUND
  Renal cell carcinoma appears in a certain percentage of patients combined with other abdominal disorders. Their simultaneous operative treatment is not widely reported in the literature. In this retrospective study, we have looked for the advantages of simultaneous operative procedures and whether these can be done safely in a primary surgical hospital.
  
  
  METHODS
  From 1991-2007 we reviewed 14 cases. We compared the results with those of patients who underwent nephrectomy in our urological department and from the actual literature.
  
  
  RESULTS
  The overall operation times in the combined surgical and the urological group were nearly identical (135 versus 131 min). The postoperative hospital stay was slightly longer in the combined surgical group (16.6 versus 13.3 days). The morbidity was higher in the combined surgical group. These patients had also a higher comorbidity.
  
  
  CONCLUSIONS
  We can see clear advantages in simultaneous operations for renal cell carcinoma and other major surgical procedures in the abdomen. This study shows that an experienced surgeon in a primary surgical hospital can perform nephrectomy with simultaneous major abdominal procedures with advantages for the patient as far as operation time and hospital stay are concerned.
authors.affiliation: Fürst-Stirum-Klinik Bruchsal, Gutleutstrasse 1-14, Bruchsal, Germany. dr.ldl@web.de
authors.forename: D
authors.initials: D
authors.lastname: Luithle
authors.forename: V
authors.initials: V
authors.lastname: Ihle
authors.forename: H
authors.initials: H
authors.lastname: Thiele
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D033162:Incidental Findings; D007680:Kidney Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009392:Nephrectomy; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012189:Retrospective Studies