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Elderly renal cell carcinoma and treatment (12 cases)

Dysfunction. Surgery in elderly patients should be asked to do a short time. So not only damage the small incision required, but also exposure to satisfaction,[link widoczny dla zalogowanych], which is to shorten the operating time, reduced intraoperative complications. I understand,[link widoczny dla zalogowanych], select the old radical nephrectomy 12th rib incision through the waist, most cases can be more easily revealed chronic kidney renal pedicle and free, and easy to damage the pleura, not into the abdominal cavity t faster postoperative recovery. Body weight loss or lower pole renal tumors, 12 subcostal incision choice. Kidney cancer on the grant, the operation of 11 experts were asked choose incision, after incision of the 11th rib injury increases the chance pleura. Choice should be careful. The feeding of patients in group 2 were pleural perforation occurred in 11 by the ribs and rib l】 asked incision. Abdominal incision or a thoracoabdominal incision and abdominal complications, easy to Taiwan after a treatment to increase the difficulty in elderly patients not in favor of Fujian Medical University in June 1998 Vol 32 No. 2 were used. Often accompanied by elderly patients with renal arteriosclerosis, surgical operation, ligation of the renal artery of threads to matter, but if too tight ligation may lead to bleeding Le t break artery radical nephrectomy in the current scope of lymph node dissection remains controversial]. Effect in elderly patients will undoubtedly expand the extended lymph node dissection surgery cyberspace, increasing the difficulty of surgery and postoperative Orioles officials to {} {} chance of serious complications in patients in this group of government practice field lymph node dissection instrument that is clear renal rustic node t near the renal sinus and aortic lymph node lymph nodes by the vena cava, simple operation with few complications in this group of 11 t pour radical nephrectomy were performed in the regional lymph node dissection, only 1 case was confirmed pathologically positive lymph node metastasis rate of t 9. Both domestic and foreign scholars in recent years, the Ministry of small peripheral renal cell carcinoma, contralateral renal insufficiency, kidney or solitary kidney kidney kidney tumor stabbed addition to the implementation or partial nephrectomy Dan t think of a low, sub-satin tumor The radical treatment of renal bird rate than the same maggot 『] I understand, cancer or kidney Dance Shuo Cong treatment of senile kidney cancer than of practical significance. Due the extensive application of ultra-B187 Sichuan, the detection rate of increase in renal cell carcinoma. For the older small renal cell carcinoma, patients with weak constitutions, or, if combined with other more serious complications of the system,[link widoczny dla zalogowanych], consider the purposes of tumor enucleation or 'partial nephrectomy. The group 1 patients with small cell carcinoma, patient age 76 years, surgery patients, the tumor is located in the lower part of the dorsal renal diameter 2Cnl, survival after tumor enucleation line 3 years and 4 months,[link widoczny dla zalogowanych], died of traffic accidents.
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