摘要
目的探讨小肾癌选择性保肾手术的临床价值.方法回顾性分析1999年12月～2001年12月采用局部低温、保留肾单位手术治疗小肾癌16例.所有病例对侧肾功能正常,肿瘤直径平均2.4(1.5～3.0)cm,均为Robson Ⅰ期.结果16例手术均获成功,平均手术时间1.2(1.0～1.5)h,平均输血400(100～800)ml.术中损伤肾盏6例,以4-0的Dexon线修补,无术后出血、肾功能衰竭、感染、尿瘘等并发症.术后平均随访26(3～57)个月,未见并发症及肿瘤局部复发及转移.结论保留肾单位手术治疗小肾癌安全有效,对肿瘤体积小、位置适宜、年轻患者可考虑行保留肾单位手术.
Objective To evaluate the nephron sparing surgery for small renal carcinoma. Method From December 1999 to December 2001, nephron sparing surgery under local hypothermia was performed in 16 cases of small renal carcinoma with normal opposite kindey. The diameter of the tumor ranged from 1.5 cm to 3 cm, with a mean of 2.4 cm. 16 cases were of Robson I stage. 16 patients underwent partial nephrectomy.Results The mean operative duration was 1.2(1.0～1.5) h, mean transfusion was 400(100～800) ml, intra-operative renal calices injury occurred in 6 cases which were repaired with 4-0 Dexon, there was no postoperative bleeding, renal failure, infection or urine fistula. The patients had were followed up for 3 to 57 months (mean 26 months) with no surgical complication or local tumor recurrence. Conclusions Nephron sparing surgery is safe and effective for the treatment of small renal carcinoma and is especially indicated for young patients with a small and favorable localized tumor.
出处
《中国现代手术学杂志》
2005年第3期228-230,共3页
Chinese Journal of Modern Operative Surgery
