后腹腔镜下保留肾单位手术治疗早期肾肿瘤临床观察  

The Clinical Observation of Retroperitoneal Laparoscopic Nephron Sparing Surgery in the Treatment of the Early Stage Renal Tumor

作　　者：王刘中[1] 魏金星[1] 张雪培[1] 王耀锋[1] 蔡腾[1] 

机构地区：[1]郑州大学第一附属医院泌尿外科,河南郑州450052

出　　处：《肿瘤基础与临床》2011年第2期127-129,共3页journal of basic and clinical oncology

摘　　要：目的评价后腹腔镜下保留肾单位手术治疗早期肾肿瘤的临床疗效与安全性。方法采用后腹腔镜下保留肾单位手术治疗早期肾肿瘤52例,术中用bu lldog血管夹阻断肾动脉血流,切除肿瘤及其周围0.5~1.0 cm正常肾组织。结果 52例患者手术均顺利完成。平均手术时间139（100~195）m in,热缺血时间26（19~28）m in,出血量198（60~350）mL。术后出现迟发性出血2例,经保守治疗后好转。随访3~72个月,未发现肿瘤复发或转移。结论后腹腔镜下保留肾单位手术治疗早期肾肿瘤安全有效,可选择性作为理想的治疗方案。Objective To evaluate the efficacy and safety of retroperitoneal laparoscopic nephron sparing surgery in the treatment of the early stage renal tumor.Methods All the 52 patients underwent retroperitoneal laparoscopic retroperitoneal laparoscopic nephron sparing surgery.The renal artery was blocked with bulldog clamp and the tumor was resected with a margin of 0.5 to 1.0 cm of healthy renal parenchyma.Results The operations were successfully performed in all the 52 patients.The mean operative time was 139 min（100 to 195 min）.The warm ischemia time was 26 min（19 to 28 min）.The mean estimated blood loss was 198 mL（60 to 350 mL）.Postoperative hemorrhage occurred in 2 cases,were relieved after conservative treatment.During a follow-up of 3 to 72 months,no recurrence or metastasis was found in all the patients.Conclusion Retroperitoneal laparoscopic nephron sparing surgery in the treatment of the early stage renal tumor could be effective and safe,and it should be an effective and feasible treatment regimen in the selected cases.

关 键 词：腹腔镜 保留肾单位手术 肾肿瘤 

分 类 号：R737.11[医药卫生—肿瘤]