The role of lymphadenectomy in the management of renal cell carcinoma

Radical nephrectomy involves removal of the kidney with paranephrium within Gerota's fascia. The need to perform adrenalectomy, the appropriateness and extent of lymph node dissection remains controversial. The results of treatment of patients with renal cell carcinoma are in the article. In this group, 38.6% of patients had vascular invasion. Nephrectomy was performed from laparotomy, the proximal and distal boundaries of dissection became superior mesenteric artery and the aortic bifurcation. Morphological examination did not reveal highly differentiated tumors. The frequency of renal capsule and perinephric invasion reached 40.9%, unchanged adrenal - 9.1%, regional lymph nodes - 22.7%. This is higher than the published data on the frequency of neoplastic lesions of the lymph nodes. Patients affected appeared to 2 lymph nodes. In conclusion, the authors concluded that such an aggressive approach could improve treatment outcomes.