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作者认为，先结扎肾和肾上腺血管，而后于肾周筋膜后层与腰大肌间激离肾脂肪囊和输尿管上段将肾及肿瘤连同肾上腺和上段输尿管，肾周筋膜及肾周脂肪，肾门淋巴脂肪组织一并整块切除（以简称Ａ组）的术式明显优于先从肾周筋膜后层与腰大肌间游离肾脂肪囊及上段输尿管继而夹切肾蒂，整块摘除肾及肿瘤连同肾上腺和输尿管，肾周筋膜及肾周脂肪，肾门淋巴脂肪组织（以下简Ｂ组）的术式。两组相对比，Ａ组术中平均出血量约２５０ｍｌ，术后５年存活率６８％；Ｂ组术中平均出血量约５１０ｍｌ，术后５年存活率仅２４％。Ａ、Ｂ两组采用卡方检验，Ｐ＜０．０１差异显著。
The author believes that the first ligation of the kidneys and adrenal blood vessels, and then in the perirenal fascia posterior and ankylosing kidney between the psoas fat capsule and upper ureter kidney and tumor along with adrenal and upper ureter, perinephric fascia and perirenal fat, Renal gland lymphatic adipose tissue with a single en bloc resection (referred to as A group) was significantly better than the first from the perineal fascia and posterior psoas between the free kidney fat capsule and the upper ureter followed by clipping the pedicle, the whole piece Kidney and tumor removal along with the adrenal and ureter, perirenal fascia and perirenal fat, hilar lymphatic adipose tissue (the following Jane B group) surgery. The average blood loss in group A was about 250ml, and the 5-year survival rate was 68%. The average blood loss in group B was 510ml, and the 5-year survival rate was only 24%. A, B two groups using chi-square test, P <0.01 significant difference.