腹腔镜保留肾单位术治疗肾癌临床研究  

Transperitoneal laparoscopic nephron-sparing surgery for renal tumors

作　　者：覃永佳 

机构地区：[1]广西省来宾市人民医院泌尿外科,广西来宾546100

出　　处：《海南医学院学报》2011年第11期1516-1518,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110418)~~

摘　　要：目的:评价腹腔镜保留肾单位术治疗肾癌的临床效果。方法:回顾性分析我院2005年1月～2008年1月肾癌患者49例,腹腔镜保留肾单位术(LNSS)治疗29例,腹腔镜根治性肾切除术治疗(LRN)20例。结果:LNSS组和LRN组的平均热缺血时间和住院天数比较差异显著(P<0.05),而手术时间、术中出血量和术后3d的引流量等无显著差异(P>0.05)。两组在局部复发、远处转移和3年无瘤生存率等方面无显著差异(P>0.05)。术后随访,LNSS组:因肿瘤远处转移而致死1例,非肿瘤致死2例;LRN组:因肿瘤局部复发而致死1例,非肿瘤致死3例,肾功能不全1例。结论:腹腔镜保留肾单位术治疗肾癌安全可靠,短期随访效果较好。Objective： To evaluate the clinical effect of Transperitoneal laparoscopic nephron-spar- ing surgery （LNSS） on renal tumors. Methods： a retrospective analysis of 49 cases with confirmed kidney cancer in our hospital from January 2005-January 2008 were performed, including 29 cases with LNSS and 20 cases with laparoscopic radical nephrectomy （LRN） treatment. Results： There was significant differ- ence in mean warm ischemia time between LNSS group and LRN group （P〈0.05）, but no significant difference in operation time, mid-operative bleeding volum and drainage volum 3 clays after surgery etc （P 〈0.05）. There was either no significant difference in local recurrence, incidence of distant metastasis, and 3 years disease-free survival rate （P〈0.05）. Follow-up showed 1 case died of distant metastasis, and 2 cases died of non-tumor cause in LNSS group; while 1 cases of local recurrence, 3 cases of non-tumor cause, and 1 case of renal insufficiency in LRN group. Conclusions： LNSS is safe and reliable, and of short-term effect.

关 键 词：肾癌 腹腔镜保留肾单位术 腹腔镜根治性肾切除术 

分 类 号：R737.11[医药卫生—肿瘤]