摘要
目的：评价后腹腔镜联合膀胱电切镜行肾输尿管全切及膀胱袖套状切除术治疗上尿路移行细胞癌的有效性及安全性。方法：对10例上尿路移行细胞癌患者行后腹腔镜联合膀胱电切镜行肾输尿管全切术，完整取出切除的肾输尿管标本。术后常规化疗药物膀胱灌注。结果：手术时间180～230min；术中出血量80～200ml；术后8d出院，无严重并发症发生。随访2～24个月，无复发。结论：后腹腔镜联合膀胱电切镜行肾输尿管全切术治疗上尿路移行细胞癌，是一种安全有效的术式，具有痛苦小、并发症少及患者恢复快等优点。
Objective： To evaluate the safety and efficiency of total nephroureterectomy and excision of bladder cuff under retroperitoneal laparoscopy and cystoscopic electrocision for upper urinary tract transitional cell carcinoma. Methods ：Tcases with pyelocarcinoma and 3 cases with transitional cell carcinoma of ureter underwent excision of bladder cuff under urethral resectoscope at first, and then retroperitoneal laparoscopic radical nephroureterectomy. The entire specimens were removed. Routine bladder irrigation was performed in all patients. Results： All operations were performed successfully. The operative time was 180 to 230min, and the estimated blood loss was 80 to 200ml. The postoperative hospital stay was 8d. There was no recurrence and distal metastasis during 2 to 24 months follow-up. Conclusions： Reroperitoneal laparoscopic combined with resectoscopic radical nephroureterectomy for upper tract transitional cell carcinoma is a safe and effective procedure with merits of mini-invasive,little pain and rapid recovery.
出处
《腹腔镜外科杂志》
2006年第6期506-507,共2页
Journal of Laparoscopic Surgery
关键词
肾肿瘤
输尿管肿瘤
腹腔镜
膀胱镜
Kidney neoplasm
Ureteral neoplasm
Laparoscopy
Cystoscopy
