摘要
目的探讨后腹腔镜肾部分切除术治疗小肾癌的临床经验。方法2009年7月到2011年08月，对本院45例小肾癌患者行后腹腔镜下肾部分切除术，并进行随访观察，年龄24岁～82岁，平均55岁，肿瘤大小1．5cm～4．0cm，平均3．1cm。结果所有45例腹腔镜下肾部分切除术均成功完成，没有改为开放或肾全切。手术时间80min～190min，平均108min，肾动脉阻断时间19min～45min，平均26min，术中出血30ml～400ml，平均130ml，术中未输血，术后住院时间6～12d，平均7d，发生继发性出血1例，术后病理证实为36例肾透明细胞癌，3例乳头状细胞癌，2例嫌色细胞癌，1例颗粒细胞癌。术后随访4～28个月，未见肿瘤复发及转移。结论后腹腔镜下肾部分切除术治疗小肾癌，出血少，恢复快，安全有效。
Objectives To investigate the clinical experience phreetomy（RLPN） for the treatment of small renal earsinoma. Methods of retropefitoneal laparoscopie partial ne- From July 2009 to August 2011,45 cases of renal carcinoma underwent retroperitoneal laparoscopic partial nephrectomy for treatment. The diameter of tumors ranged 1.5 - 4.0cm （ 3.1 em on average） , the age of patient ranged 24 - 82 years,55 on average. Results All 45 eases of laparoscopic partial nephreetomy were successfully completed without conversion to open surgery or nephree- tomy. The operating time ranged 80 - 190min （ 108min on average）, the clamping time ranged 19 -45 min （26min on average）, the introperative blood loss ranged 30 -400ml （130ml on average ）. And no patient need to transfusion. The post - operative stay time ranged 6 - 14days（7.8days on average） ,the major complication was delayed bleeding in 1 case . Pathological analysis showed demonstrated that there were 36 cases with clear cell carcinoma, 3 eases with papillary cell carcinoma, 2 cases with chromophobe cell carcinoma, 1 case with granular cell carcinoma. Neither distant metastasis nor local recurrence were found in all patients after a follow - up period of 4 - 28 months. Conclusions Retropefitoneal laparoscopic partial nephrctomy for treatment of small renal carcinoma is both safe and feasible.
出处
《国际泌尿系统杂志》
2012年第4期443-445,共3页
International Journal of Urology and Nephrology
关键词
肾肿瘤
肾切除术
外科手术
腹腔镜
Kidney Neoplasms
Nephrectomy
Surgical Procedures, Laparoscopic
