经腹入路腹腔镜肾癌根治术研究(附32例报告)  

Transperitoneal laparoscopic radical nephrectomy

作　　者：霍庆祥[1] 魏澎涛[1] 张艺[1] 孙建涛[1] 张寒[1] 

机构地区：[1]河南省洛阳市中心医院泌尿外科,河南洛阳471000

出　　处：《中国内镜杂志》2010年第8期847-848,852,共3页China Journal of Endoscopy

摘　　要：目的探讨经腹入路腹腔镜肾癌根治术的治疗效果及临床应用价值。方法回顾性分析该院采用经腹入路腹腔镜下肾癌根治术32例。结果 31例成功完成腹腔镜手术,1例中转开放,平均手术时间110min;术后平均住院时间5.8d;术中及术后未发生严重出血或肠管损伤等并发症。随访3～28个月,未见肿瘤复发及穿刺通道种植转移。结论经腹腹腔镜肾癌根治术安全可行、手术视野和解剖结构清晰、疗效肯定;手术创伤小、恢复快;具有良好的临床应用前景。【Objective】To study the surgical technique and clinical application of transperitoneal laparoscopic radical nephrectomy. 【Methods】A total of 32 patients underwent transperitoneal laparoscopicradical nephrectomy. 【Results】Laparoscopic surgery was successful in 31 patients,1 conversion to open surgery. Mean operative time was 110 minutes,mean time of postoperative hospital stay was 5.8 days. No severe bleeding and complication were observed during perioperation. 【Conclusions】Transperitoneal laparoscopic radical nephrectomy has advantages of safe and effective,clearly anatomical structure and surgical,minimal invasive,early postoperative resumption and shorter hospital stay,which has a promising future in the urologic clinical practice.

关 键 词：肾肿瘤 腹腔镜术 根治性肾切除术 

分 类 号：R737.11[医药卫生—肿瘤]