经后腹腔单通道腹腔镜肾部分切除术  

Transretroperitoneal Laparoscopic Single-Port Partial Nephrectomy

作　　者：高轶[1] 王军凯[1] 徐丹枫[1] 刘玉杉[1] 崔心刚[1] 姚亚成[1] 任吉忠[1] 车建平[1] 陈明[1] 陈杰[1] 陈露[1] 李尧[1] 

机构地区：[1]第二军医大学长征医院泌尿外科全军泌尿外科中心,上海200003

出　　处：《临床泌尿外科杂志》2011年第5期321-323,共3页Journal of Clinical Urology

摘　　要：目的:探讨经后腹腔单通道腹腔镜技术行肾部分切除手术的技术方法和效果。方法:2009年12月～2010年12月,采用单通道腹腔镜技术,经后腹腔对6例单侧小肾癌的患者实施肾部分切除术,采用腰部腋中线切口,长约2.5 cm,置入自制的单切口Port,手术过程分别使用Cambridge endo可弯单通道腹腔镜器械、普通腹腔镜器械等。结果:6例手术均获得成功,未增加皮肤切口,未中转开放或传统腹腔镜手术,平均手术时间154.2(120～210)min,热缺血时间29(18～47)min,平均术中出血103.3(30～220)ml,术后住院时间为5.7(4～7)天,围手术期无并发症发生。术后随访2～14个月,无肿瘤复发、肾脏萎缩病例。结论:随着单通道腹腔镜器械的进一步改进和术者对单通道腹腔镜操作熟练程度的提高,在严格筛选病例的前提下,经后腹腔单通道腹腔镜肾部分切除术是安全可行的。Objective：To present our initial clinical experience of transretroperitoneal single-port laparoscopic partial nephreetomy（SPLPN） . Methods：From Dec 2009 to Dee 2010,6 patients with solitary, small （〈4.0 cm） renal masses and normal contralateral kidney were selected to receive transretroperitoneal SPLPN, with waist axillary midline incision,about 2.5cm, a single incision made for inserting port, Cambridge endo flexible laparoscopic instruments and other common laparoseopic instruments were used during surgical procedures. Results：Six patients underwent transretroperitoneal SPLPN （mean operative time, 154.2 min; mean blood loss, 103.3ml;mean warm ischemia time,29min; mean hospital stay, 5. 7days;）. All procedures were technically successful, with no extra skin incisions, and no conversion to an open procedure or standard laparoscopy. There were no perioperative complication Occurred. Conclusions： Transretroperitoneal SPLPN is technically feasible and safe to treat small renal tumor.

关 键 词：单通道 腹腔镜 经后腹腔 肾部分切除 

分 类 号：R692[医药卫生—泌尿科学]