腹腔镜肾部分切除术治疗T_(1a)期肾细胞癌73例报告  

Laparoscopic partial nephrectomy for T_(1a) renal cell carcinoma:with a report of 73cases

作　　者：王辉[1] 高振利[1] 王琳[1] 王科[1] 奉友刚[1] 孙德康[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院,山东烟台264000

出　　处：《腹腔镜外科杂志》2009年第8期579-581,共3页Journal of Laparoscopic Surgery

摘　　要：目的：总结腹腔镜肾部分切除术治疗T1a期肾细胞癌的经验。方法：回顾分析2004年7月至2008年12月我院为73例T1a期肾细胞癌患者行腹腔镜肾部分切除术的临床资料。结果：73例手术均获成功。经腹腔途径39例,腹膜后途径34例,手术时间60～100min,平均76min。肾动脉阻断时间15～32min,平均21min。术中出血20～60ml,均未输血。术中需缝合集合系统2例。术后病理：肾透明细胞癌67例,乳头状肾细胞癌5例,集合管癌1例,切缘均阴性。术后住院5～10d,平均6.3d。随访3～54个月,平均30.6个月,肿瘤无复发、转移。结论：腹腔镜肾部分切除术治疗T1a期肾细胞癌安全可行,熟练的腹腔镜技术有助于此术式的开展。Objective：To summarize our initial experiences of laparoscopic partial nephrectomy（LPN） for T1a renal cell carcinoma.Methods：From Jul.2004 to Dec.2008,73 cases of T1a renal cell carcinoma underwent LPN.Results：All the operations were successfully accomplished.39 patients were via transperitoneal approach and the other 34 cases via retroperitoneal approach.The average operative time was 76min（60-100min）,and average kidney ischemia time was 21min（15-32min）.The estimated bleeding volume was from 20 to 60ml,and no patients needed blood transfusion. The collecting system closure was performed by suture in 2 patients. The 73 patients included 67 cases with clear cell carcinoma of kidney ,5 cases with papillary renal cell carcinoma, and 1 case with renal collecting duct carcinoma. All renal cell carcinomas were completely removed with negative surgical margin. The mean postoperative hospital stay was 6.3 days （5-10 days）. No patients had local recurrence or metastasis during a mean follow up of 30.6 months （3-54 months ）. Conclusions ： LPN for T1a, renal cell carcinoma is safe and feasible. The skilled laparoscopic technology can facilitate the operations.

关 键 词：腹腔镜术 肾肿瘤 肾切除术 病例报告 

分 类 号：R737.11[医药卫生—肿瘤]