How radical nephrectomy

summary

Radical nephrectomy is an effective treatment for renal cell carcinoma. When the kidney disease is serious, nephrectomy should be used to remove the lesion, so as to cure the disease and prevent further spread of infection. Let's talk about radical nephrectomy.

How radical nephrectomy

First, the operation principle of traditional radical nephrectomy is to ligate the renal artery and vein early before the free kidney and tumor, remove the kidney and ipsilateral adrenal gland outside the perirenal fascia, and completely remove the regional lymph nodes. In recent years, the above principle has been debated. It is considered that ipsilateral adrenal gland should be removed only when there are renal upper pole tumors, adrenal metastases, huge renal tumors and multiple renal tumors. The therapeutic value of systematic lymphadenectomy is controversial.

Second: the most effective and main method for the treatment of renal cell carcinoma can effectively improve the survival rate of patients. The incision can be abdominal or lumbar, which should be fully exposed. Firstly, the renal pedicle vessels should be ligated to reduce operative bleeding and avoid the spread of cancer cells. The scope of resection includes the kidney, perirenal adipose tissue, perirenal fascia and local enlarged lymph nodes. When the tumor occurs in the upper part of the kidney or the tumor has invaded the adrenal gland, the adrenal tissue on the affected side should be removed.

Third: after surgery, we can give IL - IFN - α and other biological agents for immunotherapy, which can prevent tumor metastasis and recurrence to a certain extent. It is worth noting that renal cell carcinoma has multidrug resistance gene, so radiotherapy and chemotherapy are not significant for this effect.

matters needing attention

The above is about the introduction of radical nephrectomy, can cure kidney disease. It can save the patient's life and get rid of the pain. But postoperative recovery and conditioning is very important. We should go to the hospital frequently to ensure our health.