ABSTRACT
42 patients underwent conservative surgery for renal cancer. Conservative surgery was applied in 6 patients with only kidney, in 17--with unilateral cancer and contralateral kidney damaged by urological disease, in 17--with simultaneous tumorous process and in 8 patients with unilateral renal cancer and sound contralateral organ. Terms of postoperative follow-up ranged from 9 to 121 months, 14 patients have died for this period, exacerbation of cancer or metastasis being the cause of death in 9 of them. 5-year survival rate made up 64.4% although with regard to deaths related to cancer it equaled 81%. In 5 patients operated kidneys demonstrated complete functional failure due to nephrosclerosis. 5-year survival rate correlated inversely with advance of the process and was higher in unilateral lesions as compared to that of patients with bilateral tumors.
Subject(s)
Adenocarcinoma, Clear Cell/surgery , Adenocarcinoma/surgery , Carcinoma, Papillary/surgery , Kidney Neoplasms/surgery , Kidney/surgery , Adenocarcinoma/mortality , Adenocarcinoma/pathology , Adenocarcinoma, Clear Cell/mortality , Adenocarcinoma, Clear Cell/pathology , Adult , Aged , Carcinoma, Papillary/mortality , Carcinoma, Papillary/pathology , Female , Humans , Kidney Neoplasms/mortality , Kidney Neoplasms/pathology , Male , Middle Aged , Neoplasm Metastasis , Neoplasm Staging , Ukraine/epidemiologyABSTRACT
The organ-preserving surgical intervention for renal cancer was performed in 42 patients. Five-year survival was 64.4%.
