Lymph Node Dissection in Radical Nephrectomy for Renal Cell Carcinoma: Is It Necessary?
- 1 January 1983
- journal article
- research article
- Published by Elsevier in European Urology
- Vol. 9 (1) , 10-12
- https://doi.org/10.1159/000474034
Abstract
Lymph node dissection is an essential step in radical nephrectomy for renal cell carcinoma, but lymph node metastases are present in no more than 15% of category M(0) renal cell cancers and the cure rate of patients with lymph node involvement is usually poor. Therefore it can be assumed that less than 5% of patients benefit from lymphadenectomy. Lymph node dissection of limited extent is useful in enabling easier control of the great vessels, and radical dissection may be confined to patients of high T categories in whom the chance for nodal involvement is higher.Keywords
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