Abstract

Objectives Surgical treatment is still the first choice for renal cell carcinoma. In recent years, the indication of the partial nephrectomy has been extended, of which could protect the renal function, and improve the quality of life of patients as well. However, there is still a considerable part of the patients, who would have the change of surgical removal method, partial nephrectomy to radical nephrectomy, in the operation process. Methods The clinical and following–up data of patients with renal cell carcinoma, who had surgical treatment from January 2012 to June 2015 in our hospital, were collected. By comparison of various methods, the characteristics of the people who have changed the way of surgical resection and the effect of the change on the recovery after operation were analyzed. Results Age, sex, operation time, blood loss, surgical operation and other related factors were not significantly different between the population with the change of surgical removal method and that without the change. The preoperative TNM staging was more prone to surgical changes in patients with T1bN0M0 than in other staging patients. The change of surgical resection did not significantly affecte the short–term discomfort and long–term discomfort. Conclusions The preoperative T1bN0M0 staging patients is more prone to have the change of surgical resection method. The change of surgical removal method will not have significant impact on the patient's operation time, intraoperative blood loss , and the likelihood of postoperative discomfort. In the premise of ensuring the efficacy of the surgery, the choice of partial nephrectomy would be helpful in keeping the quality of life. And for all those who would have the operation of partial nephrectomy, T1bN0M0 staging patients should be particularly concerned. Key words: Kidney Neoplasms; Carcinoma, Renal Cell

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