后腹腔镜在治疗肾占位性病变中的应用(附48例报告)  

Application on back-celioscope surgery treating pathological changes of kidney occupy(Report Of 48 cases)

作　　者：郑军[1] 邓晓洪[1] 欧平[1] 王元中[1] 

机构地区：[1]重庆市中山医院泌尿科,400013

出　　处：《中国医药指南》2008年第24期30-31,共2页Guide of China Medicine

摘　　要：目的探讨后腹腔镜手术治疗肾脏占位性病变的方法和效果。方法使用后腹腔镜保留肾单位的肾部分切除术,肿瘤剜除术及去顶减压术。结果48例手术全部成功,手术时间43～124min,平均手术时间77min;术中失血30～410mL,平均术中失血115mL,术后住院6～12d,平均住院时间9d,无严重并发症。48例随访3～37月。结论后腹腔镜下保留肾单位手术(nephron sparing surgery)及去项减压术治疗肾脏占位性病变具有暴露充分、出血少、恢复快等优势,值得临床推广。Objective To investigate the techniques and effects on back-celioscope treating pathological changes of kidney occupy. Methods Remain nephron of partly kidney resection,cut tumour,remove top decompression by using back-celioscope.Results Report of 48 cases were successful,OPS time 43-124 min,average 77min;haemorrhage 30-410mL,average 115mL;stay in hospital after surgery 6-12 days,average 9 days.No severe massive complication.Reports of 48 cases have been observed during the postoperative followup for 3-37months.Conclusion The advantage on Nephron Sparing surgery under back-celioscope and remove top decompression treating pathological changes of kidney occupy,is exposed fully,little haemorrhage,fast recovery.It's much worthy of spreading for clinical application.

关 键 词：后腹腔镜 肾占位性病变 

分 类 号：R699.2[医药卫生—泌尿科学] R737.11[医药卫生—外科学]