The results of surgical treatment of patients operated on with locally advanced renal-cell carcinoma
The paper analyzed the results of surgical treatment of 121 patients operated on with locally advanced renal-cell carcinoma. The men - 59, women - 53. Middle age of patients were 55,3 years. Patients were divided into 2 groups. A base group - 47 (41.9%) patients with renal tumors, who had undergone laparoscopic nephrectomy. 65 (58.1%) patients who had undergone open radical nephrectomy for locally advanced renal cancer were selected for a control group. In the open nephrectomy group mean duration of surgery was 115.8 min; mean blood loss — 271.7 ml; mean hospital stay —16.6 days. In the laparoscopic transabdominal surgery, these were 93.6 min, 88.3 ml, and 11.7 days, respectively. There were no intraoperative complications. Laparoscopic nephrectomy is the method of choice in treating locally advanced renal cancer (Т3аN0M0), which yields the same results as open surgery and provides a better quality of life. The median follow-up was 20,5 months. In the open nephrectomy group one-year overall and cancer- specific survival was 81,1%. In the base group one-year overall and cancer-specific survival was 100%.