Multiple chemo-embolization of renal artery and radical surgery for renal carcinoma / 中华泌尿外科杂志

ABSTRACT

ObjectiveTo evaluate the efficacy of preoperative transarterial chemo-embolization and radical surgery for renal carcinoma.MethodsA lotal of 68 cases underwent transarterial chem-embolization by injecting lipiodcl-MMC emulsion,DDP,ADM and gelain sponge successfully and 64 of them underwent radical surgery 82～110 h after embolization.The efficacy was retrospectively studied.ResultsPreoperative transarterial chem-embolization made resection easier,with 1,3,5,and 8 year survival rate being 91.7%,83.3%,66.7% and 45.0%,respectively.The side effect of chemo-embolization were lumbago in all,fever in 52,gastrointestive reaction in 48.No extra-renal embolization has been noted.ConclusionsPreoperative transarterial chem-embolization is helpful and is highly recommented as a preoperative routine procedure.It might serve as one of the main procedures for non-operatabe cases.