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目的:评价腹腔镜下根治性肾切除术、保留肾单位手术以及射频消融术在多中心性肾细胞癌治疗中的临床价值,探索多中心性肾细胞癌的最佳治疗手段。方法:回顾性分析2009年1月~2013年5月31例多中心性肾细胞癌微创手术治疗的患者临床资料(肿瘤最大直径1.7~6.0cm,均为T1期(2009年TNM标准)。结果:术后30例(30/31)获随访随访时间4~55个月,平均随访28个月,1例出现转移。结论:初步数据证明多中心性肾细胞癌的微创手术治疗是可行的,为进一步考证其肿瘤学结果需要更大样本和长期的随访验证。
Objective: To evaluate the clinical value of laparoscopic radical nephrectomy, nephron surgery and radiofrequency ablation in the treatment of polycystic kidney cell carcinoma, and to explore the best treatment for multicentric renal cell carcinoma. Methods: The clinical data of 31 patients with minimally invasive multicenter renal cell carcinoma from January 2009 to May 2013 were retrospectively analyzed. The maximum diameter of tumor was 1.7-6.0cm, all of which were T1 (TNM 2009). RESULTS: Thirty patients (30/31) were followed up for 4 to 55 months with an average of 28 months follow-up and 1 case had metastases.Conclusion: Preliminary data demonstrate that minimally invasive surgical treatment of multicentric renal cell carcinoma is feasible , To further verify its oncology results require larger samples and long-term follow-up validation.