腹膜后腹腔镜保留肾单位手术(附29例报告)  

Retroperitoneal laparoscopic nephron-sparing surgery:with a report of 29 cases

作　　者：周骏[1] 梁朝朝[1] 叶元平[1] 刘明[1] 张贤生[1] 郝宗耀[1] 张翼飞[1] 樊松[1] 江长琴[1] 

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230022

出　　处：《腹腔镜外科杂志》2011年第9期708-710,共3页Journal of Laparoscopic Surgery

摘　　要：目的:总结腹膜后腹腔镜保留肾单位手术的过程及疗效,探讨其安全性及有效性。方法:回顾分析2007年6月至2011年3月为29例患者行腹膜后腹腔镜保留肾单位手术的临床资料,其中左侧13例,右侧16例;肿瘤直径2.0～5.5 cm,平均3.5 cm。结果:29例手术均获成功。手术时间60～150 min,平均85 min;术中出血量50～200 ml,平均80 ml。术后病理示肾透明细胞癌10例,肾血管平滑肌脂肪瘤19例。随访3～45个月,均无复发。结论:腹膜后腹腔镜保留肾单位手术治疗早期局限性肾癌及肾脏良性肿瘤安全、微创、有效,但需由腹腔镜手术经验丰富的医师施术。Objective： To sum up the course and results of retroperitoneal laparoscopic nephron-sparing surgery and explore the safety and efficacy of the surgery. Methods ： The retrospective analysis was made on the clinical data of 29 patients who underwent retroperitoneal laparoscopic nephron-sparing surgery from Jun. 2007 to Mar. 2011. There were 13 leftward and 16 rightward;the diameter of tumors was from 2.0 to 5.5 cm （ the mean was 3.5 cm）. Results： All the procedures were accomplished successfully. The mean operative time was 85 min （from 60 to 150 min） and mean blood loss was 80 ml （from 50 to 200 ml）. 10 cases of renal clear cell carcinomas and 19 cases of renal angioleiomyolipoma were confirmed by postoperative pathological tests. None recurred during the follow-up from 3 to 45 months. Conclusions ： Retroperitoneal laparoscopic nephron-sparing surgery is a safe, minimally invasive and effective therapy for early local renal carcinomas and renal benign tumors, but it must be accomplished by seasoned laparoscopic doctors.

关 键 词：肾肿瘤 保留肾单位手术 腹腔镜检查 腹膜后径路 

分 类 号：R737.11[医药卫生—肿瘤]