Lymphadenectomy in Renal Cancer
On the basis of the experience of the Urological University Clinic of Genoa (104 cases of renal cancer operated on in the last 10 years) the problems related to the rationale, the technique and the indications for retroperitoneal lymphadenectomy in renal cancer are reviewed and discussed.
It is concluded that, although lymphadenectomy adds little morbidity and constitutes a fundamental part of radical nephrectomy performed through an anterior transperitoneal approach, no actual benefit can yet be demonstrated.
The generally accepted management of renal cancer is radical nephrectomy, which includes perifascial nephrectomy through an anterior transperitoneal approach, adrenalectomy and retroperitoneal lymphadenectomy (1). However it is possible to question the benefits of lymphadenectomy, the technique and the extension of nodal dissection and the indications for nodal extirpation in high stage tumors. In this paper we shall discuss our experience at the Urological University Clinic of Genoa, based on 104 consecutive cases of renal cancer operated on during the last 10 years and we will attempt to define the role of lymphadenectomy in the treatment of renal cell carcinoma.
KeywordsRenal Cell Carcinoma Renal Cancer Radical Nephrectomy Renal Carcinoma Iliac Node
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