“…The higher survival rates in the studies performed by Robson et al [3]and Skinner et al [18], for instance, may be due to the thoroughness of the lymphadenectomy or to factors of patient selection. Furthermore, one must keep in mind the fact that many of the previous studies were done at a time when computerized tomography and, in some cases, ultrasonography were not available as routine procedures.…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of lymph node metastases in renal cancer ranges from 13% to more than 32% [3, 4, 5, 6, 7, 8, 9, 10]. The incidence of lymph node involvement increases with the stage of the tumor.…”
“…The higher survival rates in the studies performed by Robson et al [3]and Skinner et al [18], for instance, may be due to the thoroughness of the lymphadenectomy or to factors of patient selection. Furthermore, one must keep in mind the fact that many of the previous studies were done at a time when computerized tomography and, in some cases, ultrasonography were not available as routine procedures.…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of lymph node metastases in renal cancer ranges from 13% to more than 32% [3, 4, 5, 6, 7, 8, 9, 10]. The incidence of lymph node involvement increases with the stage of the tumor.…”
“…The oncologic rationale for Robson’s early description of the radical nephrectomy procedure for renal cell carcinoma (RCC) was technical simplicity by staying within the anatomical layer of the Gerota’s fascia and wide resection margins to include potential sites of local tumour spread as well as early vascular control [1]. The traditional procedure therefore included ipsilateral adrenalectomy.…”
“…Robson et al [9]established radical nephrectomy as the gold standard curative operation for RCC in patients with a normally functioning contralateral kidney. Over the last 25 years, modifications to this approach have gained acceptance.…”
Section: Discussionmentioning
confidence: 99%
“…With regard to the surgical technique, radical nephrectomy was performed by standard method [9]. The entire kidney was removed outside Gerota’s fascia.…”
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