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[Renal cancer--a retrospective study of 368 patients]
Christian Beisland1, Per Christian Medby, Hans Olav Beisland
1Kirurgisk avdeling Oppland sentralsykehus Lillehammer 2629 Lillehammer. christian.beisland@haukeland.no
Background:
We wanted to evaluate our treatment results for renal cell carcinoma (RCC).
Material And Methods:
A retrospective study of 368 patients operated with nephrectomy between 1978 and 2000 was carried out.
Results:
29% of the renal cell carcinomas were diagnosed incidentally and we observed a significant increase in this respect between the first and second half of the study. 18% had postoperative complications and 3% had major complications needing reoperation. 2% of the nephrectomies on the left side were complicated with splenectomy. 11 patients (3%) died within 30 days, most of the deaths occurring in the early part of the study period. Five-year cancer-specific survival rates were: 92% for stage 1; 83% for stage 2; 67% for stage 3; and 16% for stage 4. No differences were encountered between transabdominal and retroperitoneal surgical approaches in terms of cancer-specific survival.
Interpretation:
Increasing numbers of incidentally detected tumours have been observed. Our survival, complication and mortality rates are comparable to those in other reports.