后腹腔镜肾癌根治术13例报告  

Retroperitoneoscopic radical nephrectomy for 13 patients with carcinoma of kidney

作　　者：贺厚光[1] 邱祥政[1] 吴天麟[1] 王阔兴[1] 范涛[1] 梁清[1] 韩从辉[1] 

机构地区：[1]东南大学医学院附属徐州医院泌尿外科,江苏徐州221009

出　　处：《东南大学学报（医学版）》2007年第5期369-370,373,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的：探讨后腹腔镜肾癌根治性切除术的临床应用。方法：2004年11月-2006年11月共收治行腹腔镜手术的肾癌患者13例，肿瘤临床分期T1N0M0期10例，T2N0M0期3例。13例均采用后腹腔镜肾癌根治术。结果：13例行后腹腔镜肾癌根治术成功。其中1例精索静脉出血，采用手辅式腹腔镜肾癌根治术。手术时间60～255min，平均145min。术中出血量50—1200ml，平均124ml。12例术后获得随访1—17个月，1例术后半年发现肺转移，余11例未发现肾窝、切口和远处转移，无瘤生存。结论：后腹腔镜肾癌根治术是一种安全、有效的治疗方法。Objective To study the clinical application of retroperitoneoscopic radical nephrectomy for carcinoma of kidney. Methods From November 2004 to November 2006,13 patients with carcinoma of kidney underwent the retroperitoneoscopic radical nephrectomy and the clinical data were analysed retrospectively. Clinical stages of 10 cases were T0 NO M0 and 3 cases were T2 NO M0. Results In all cases, nephrectomies were undergone successfully by retroperitoneoscopic procedure. One of these cases was treated by hand-assisted transperitoneoscopic radical nephrectomy for the bleeding of spermatic vein. Operative time ranged from 60 -255 rain （mean operative time 145 rain）. Intraoperative blood losses were about 50 - 1 200 ml （mean blood loss 124 ml）. 12 cases were following-up from 1-17months. 11 cases survived without tumors and one case found metastasis in lung in 6 months after operation. Conclusion Retroperitoneoscopic radical nephrectomy is a kind of safe, effective and efficient surgical procedure.

关 键 词：肾癌 肾切除术 后腹腔镜 

分 类 号：R737.11[医药卫生—肿瘤]