[The surgical treatment of patients with renal carcinoma]

A retrospective study of 118 patients with renal cancer, treated at the University Urologic Clinic in Rostock, Germany, for the period Jan. 1980-March 1990 was performed. Twenty-one patients (17.8 per cent) were in advanced stage of the disease which made operative treatment impossible. Radical nephrectomy was performed in 83 patients: transperitoneal with pararectal approach in 79 and lumbotomy in 4. Partial renal resection was performed in 7 patients, in 5 of them with local hypothermia. The operation in 7 patients terminated with probatory laparotomy because of infiltrative growth of the tumor in adjacent tissues, v. cava included. Probatory laparotomy served for intraoperative biopsy, allowing to establish histologic diagnosis. Six patients died within a month after the operation (6.15 per cent postoperative lethality). Intraoperative complications developed in 4 patients: rupture of the spleen in 2 requiring splenectomy, lesion of colon descendens which necessitated transversectomy--in 1 patient, and rupture of the aorta in 1 patient successfully controlled with two-layer suture of the aortic wall.