摘要
目的评价后腹腔镜肾癌根治手术临床疗效,总结手术经验。方法回顾性分析2006年6月至2010年12月65例后腹腔镜肾癌根治性切除术患者的临床资料。结果 65例手术均获成功,手术平均时间90.2±34.6min,平均出血量80.1±28.5ml,术后住院时间平均7.0±2.3d;11例腹膜破裂,1例误伤下腔静脉,术中钛夹夹闭止血,夹闭下腔静脉腔1/3,术后无并发症发生。随访6～48个月,未见肿瘤复发及转移。结论后腹腔镜肾癌根治术具有创伤小、出血少、恢复快的优点,是一种安全、有效的治疗方法,具有良好的临床应用前景。
Objective To evaluate the efficacy of retroperitaneal laparoscopic radical nephrectomy and summarize the experiences. Methods From June 2006 to December 2010, the data of 65 patients un- derwent retroperitoneal laparoscopic radical nephrectomy were analyzed retrospectively. Results All the operation were successful. The average operation time was 90.2±34.6 min, the average volume of blood loss was 80.1±28.5 ml, average postoperative hospital stay was 7±2.3 d. Peritoneal rupture occurred in 11 patients. Inferior vena cava was injuried in 1 patient, and titanium clip was used for hemostasis. After 6-48 months followed up, no tumor recurrence and metastasis were found. Conclusion Retroperitoneal laparoscopic radical nephrectomy has less trauma, less blood loss, rapid recovery, which is a safe, effective treatment, has a good prospect of clinical application.
出处
《中华腔镜泌尿外科杂志（电子版）》
2012年第1期14-16,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
后腹腔镜
肾癌
根治性肾切除
Retroperitoneal laparoscopic
Renal carcinoma
Radical nephrectomy
