Abstract:
OBJECTIVE:To investigate the feasibility of adrenal sparing surgery for selected renal cell carcinoma (RCC), since the necessity of routine adrenalectomy during radical nephrectomy for RCC has been challenged in recent years. METHODS:178 patients underwent perifascial nephrectomy in a 16-year period. Of these patients, 96 had ipsilateral adrenal gland preserved during nephrectomy and 82 underwent concomitant adrenalectomy. 75 excised adrenal specimens were examined pathologically. Disease specific survival rates were assessed according to the pathological stage of the tumors. RESULTS:Of the 75 patients, 53 presented a macroscopically normal adrenal gland without pathohistological changes. The other 22 patients were suspected to have adrenal metastasis intraoperatively, while only 5 of them were confirmed to have adrenal involvement by histopathology. Two patients in the adrenal gland preservation group developed ipsilateral adrenal recurrence and synchronous or metachronous contralateral adrenal metastasis during follow-up, although both were documented to have a normal-appearing adrenal gland intraoperatively. Five patients with adrenal metastasis and 2 patients with adrenal recurrence had large renal tumors. The survival difference among subgroups of patients undergoing adrenalectomy or with adrenal gland left in situ was not statistically significant. CONCLUSION:Adrenal sparing surgery could be done for patients with small renal tumors along with macroscopically normal ipsilateral adrenal glands.
journal_name
Chin Med J (Engl)journal_title
Chinese medical journalauthors
Xu C,Niu Z,Lü J,Wang Jkeywords:
subject
Has Abstractpub_date
1998-10-01 00:00:00pages
877-80issue
10eissn
0366-6999issn
2542-5641journal_volume
111pub_type
杂志文章abstract:BACKGROUND:Oxygen inhalation therapy is essential for the treatment of patients with chronic mountain sickness (CMS), but the efficacy of oxygen inhalation for populations at high risk of CMS remains unknown. This research investigated whether oxygen inhalation therapy benefits populations at high risk of CMS. METHODS...
journal_title:Chinese medical journal
pub_type: 杂志文章,随机对照试验
doi:10.4103/0366-6999.182831
更新日期:2016-06-05 00:00:00
abstract::Cerebral cysticercosis is the most common worldwide parasitic infection of the central nervous system. Intraventricular involvement is apparent in 15% to 28.8% of cases with neural compartment infestation.' Although different forms of the disease (parenchymatous, subarachnoid, and mixed form ) have been treated succes...
journal_title:Chinese medical journal
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更新日期:2002-06-01 00:00:00
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doi:
更新日期:2010-11-01 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章
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更新日期:2020-04-05 00:00:00
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更新日期:2003-12-01 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章
doi:
更新日期:1996-02-01 00:00:00
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doi:
更新日期:2010-03-20 00:00:00
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doi:
更新日期:2008-11-05 00:00:00
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doi:
更新日期:2009-09-20 00:00:00
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更新日期:2011-10-01 00:00:00
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doi:
更新日期:2008-05-05 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
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journal_title:Chinese medical journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1998-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-10-20 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
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更新日期:2017-02-20 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2008-05-20 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章,评审
doi:10.4103/0366-6999.156142
更新日期:2015-05-05 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2009-05-05 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2011-02-01 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章
doi:
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更新日期:2020-04-20 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-07-20 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-05-20 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
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journal_title:Chinese medical journal
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-05-20 00:00:00
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pub_type: 杂志文章
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journal_title:Chinese medical journal
pub_type: 杂志文章
doi:10.1097/CM9.0000000000000172
更新日期:2019-04-05 00:00:00