经后腹腔途径腹腔镜联合下腹部开放手术治疗上尿路移行细胞癌  

Retroperitoneoscopic Nephroureterectomy with Lower Abdomen Open Surgery for Upper Urinary Tract Transitional Cell Carcinoma:a Report of 23 Cases

作　　者：柳懿鹏[1] 章传华[1] 操作亮[1] 

机构地区：[1]湖北省武汉市第一医院泌尿外科,湖北武汉430022

出　　处：《医学临床研究》2008年第1期51-52,共2页Journal of Clinical Research

摘　　要：【目的】评价经后腹腔镜途径腹腔镜联舍下腹部开放手术治疗上尿路移行细胞癌的有效性及安全性。【方法】2005年3月至2007年2月采用经后腹腔腹腔镜联合下腹部开放手术治疗肾盂及输尿管移行细胞癌23例。手术过程包括后腹腔镜下游离肾脏及输尿管上中段，切除肾脏并置于下腹。再经患侧下腹Gibson切口，游离输尿管下段及壁段，行输尿管全切，从下腹部切口取出肾脏。【结果】23例均获成功，手术时间110～160min，平均120min；出血量40～100mL，平均60mL，术后住院时间7～12d，平均8d；术中及术后无明显并发症。随访3～26个月，无复发或转移。【结论】后腹腔镜联合下腹部开放手术治疗肾盂及输尿管癌安全有效、痛苦小，康复快。[Objective]To evaluate the safety and efficiency of retroperitoneoscopic nephroureterectomy with lower abdomen open surgery for upper urinary tract transitional cell carcinoma. [Methods] Between March 2005 and February 2007 retroperitoneoscopic nephroureterectomy was performed in 23 patients. The surgery process was to use laparoscope to dissociate the kidney and the ureter under retroperitoneoscope, and excise the kidney and put it in the abdomen, then excise the ureter and take the kidney and the ureter out through the Gibson incision. [Results] All cases were performed successfully. The operation time was 110 to 160rain（mean 120min）, and blood loss was 40 to 100 mL （mean 60mL）. The mean post-operative hospitalization time was 8 clays （7 to 12 days）. There was no recurrence and distal metastasis during 3 to 26 months follow-up period. [Conclusion] Retroperitoneoscopic nephroureterectomy with lower abdomen open surgery is a safe and effective procedure for upper urinary tract transitional cell carcinoma with mini-invasive , less pain and rapid recovery.

关 键 词：癌 移行性细胞/外科学 尿道肿瘤/外科学 外科手术 腹腔镜 

分 类 号：R737.15[医药卫生—肿瘤]