Korean J Urol.  1985 Dec;26(6):639-643.

Radical Nephrectomy with Extended Retroperitoneal Lymphadenectomy in Renal Cell Carcinoma: Review of 19 Cases

• Jin WY
• Lim SK

Abstract

A clinical observation was made on 19 patients of renal cell carcinoma who were treated by radical nephrectomy with extended retroperitoneal lymphadenectomy in the Department of Urology, Catholic Medical College during the period from May, 1980 to August, l985. Results were as follows; 1. Clinical stages by Robson`s staging system were 7 cases of stage I, 6 cases of stage II, 5 cases of stage III and 1 case of stage IV. Acuracy rate of clinical staging was 68.4%. 2. Pathologic stages were 8 cases of stage I, 5 cases of stage II, 4 cases of stage HI and 2 cases of stage IV. 3. Metastatic sites were perirenal fat(5 cases), regional lymphnode (2 cases), vessel(4 cases) and lung (2 cases). The rate of regional lymphnode involvement was 10.5%. 4. Postoperative complications were colocutaneous fistula (1 case), prolonged ileus (1 case) and pleural effusion (1 case). 5. Out of 19 cases 13 cases were alive without recurrence, 2 cases were alive with metastasis, 3 cases died with recurrence and 1 case died with other cause. 1 year survival rate was 77.8%.

Keyword

renal cell carcinoma; radical nephrectomy

MeSH Terms

Carcinoma, Renal Cell*
Fistula
Humans
Ileus
Lung
Lymph Node Excision*
Neoplasm Metastasis
Nephrectomy*
Pleural Effusion
Postoperative Complications
Recurrence
Survival Rate
Urology