摘要
目的：分析评价后腹腔镜保留肾单位手术（1aparoscopicnephron—spanngsurgery，LNSS）的临床价值及手术经验。方法：56例肾肿瘤患者经腹膜后路径行LNSS，肿瘤直径2．1～6．4ca。左侧30例，右侧26例。观察手术时间、术中出血量、住院时间、并发症及术后随访情况。结果：56例手术均顺利完成。手术时间平均（70±18．5）min，热缺血时间平均（28±2．8）min，术中出血量平均（60±33．2）ml，平均住院（10±4．6）d。术后4例发生迟发性出血，2例出现漏尿，1例肾脏萎缩。结论：LNSS是安全、有效的术式。体积较大、中央型肾肿瘤患者行LNSS，对于保留肾脏功能及肿瘤控制具有较大的临床意义。
Objective：To analyze and evaluate the clinical value and the operation experience of retroperitoneal laparoscopic nephron-sparing surgery （LNSS）. Mcthods：LNSS was performed for 56 patients with renal tumor. The tumor size ranged from 2.1 cm to 6.4 cm in diameter. 30 cases was left renal tumor ,the rest was right. The clinical data including mean operative time ,blood loss ,hos- pital stay, complication, the condition of follow-up were observed. Results： All operations were successfully accomplished. The mean op- erative time, warm-ischemia time, intraoperative blood loss, and hospital stay were （70 ± 18.5 ） rain, （28 ± 2.8 ） min, （60±33.2） ml and （ 10± 4.6） d, respectively. There were 4 cases of delayed hemorrhage,2 cases of urine leakage and 1 case of renal atrophy in the 56 cases. Conclusions：LNSS is safe and feasible. LNSS applied to the patients with central renal mass or large renal tumor has signifi- cant clinical value in preserving the renal function and tumor control.
出处
《腹腔镜外科杂志》
2014年第2期85-88,共4页
Journal of Laparoscopic Surgery
关键词
肾肿瘤
保留肾单位手术
腹腔镜检查
腹膜后路径
Kidney neoplasms
Nephron-sparing surgery
Laparoscopy
Retroperitoneal approach
