后腹腔镜根治性肾切除术治疗肾癌的临床研究  

Clinical research on retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cell carcinoma

作　　者：卢尚光[1] 高宏君[1] 梁泰生[1] 梁霄[1] 董瑜[1] 周杰彬[1] 谭臻[1] 农谦[1] 

机构地区：[1]广西中医学院附属瑞康医院器官移植泌尿外科,南宁市530011

出　　处：《微创医学》2011年第4期309-311,共3页Journal of Minimally Invasive Medicine

摘　　要：目的总结后腹腔镜根治性肾切除术治疗肾癌的经验。方法回顾性分析16例肾癌患者采用后腹腔镜根治性肾切除术治疗的临床资料。结果手术时间为100～260 min,出血量60～700 mL。术后住院7～9 d,术后病理检查均确诊为T1～T2期,术后随访2～45个月,均无局部复发、远处转移及切口或操作孔道肿瘤种植等。结论肾癌患者采用后腹腔镜根治性肾切除术具有组织损伤小、出血少、并发症少、恢复快、手术时间短、预后更好等优点。Objective To summarize the use of retroperitoneal laparoscopic radical nephrectomy in the treatment of renal cell carcinoma.Methods Clinical data of 16 patients with renal cell carcinoma patients underwent retroperitoneal laparoscopic radical nephrectomy were analyzed retrospectively.Results The operative time was 100-260 min,and blood loss was 60-700 ml.Postoperative hospital stay was 7-9 d,and all were diagnosed with pathologic T1-T2 period.Patients were followed up for 2-45 months,no local recurrence,distant metastasis,tumor implantation of incision or operation or other channels was observed.Conclusion Retroperitoneal laparoscopy has the advantages of less trauma,less bleeding,less complication,fast recovery,short operation time and better prognosis in the treatment of renal cell carcinoma.

关 键 词：肾癌 根治性肾切除术 后腹腔镜手术 

分 类 号：R737.11[医药卫生—肿瘤]