腹腔入路复杂性肾肿瘤伴静脉瘤栓根治性切除的手术技巧(附10例报告)  

Surgical management of renal cell cancer with tumor thrombus through an transabdominal approach(Report of 10 cases)

作　　者：潘铁军[1] 刘昊[1] 谢森[1] 姜丽[1] 徐耀鹏[1] 

机构地区：[1]广州军区武汉总医院泌尿外科,武汉430070

出　　处：《临床泌尿外科杂志》2012年第8期564-566,共3页Journal of Clinical Urology

摘　　要：目的:总结腹腔入路复杂性肾肿瘤伴静脉瘤栓根治性切除的手术技巧。方法:收集2011年6月～2011年11月复杂性肾肿瘤伴静脉瘤栓根治性切除术10例,均采用腹腔入路,归纳总结手术体会和技巧。结果:10例手术平均时间120min,平均出血量300ml,平均住院时间10d,2例术中输血600ml,1例术后出现肠梗阻。结论:复杂性肾肿瘤伴静脉瘤栓根治性切除术难度高、危险性大,根据患者不同情况选择合适的手术入路、合理的暴露、控制血管,精细的分离技巧可以增加手术的安全性及成功率,值得提倡和推广。Objective：We generate to complex renal tumors with venous tumor thromhus operate skills and ex- perience. Method：The paper collects 10 cases complex renal tumors by radical nephrectomy from June, 2011 to Nov,2011 in wuhan genral hospital of PLA. All patients adapt to transabdominal approach. Result：Ten cases is successful,the operation times is 120 mints,blood losing is 300ml,2 patients with intraoperative blood transfusion 600ml, 1 patients with postoperative ileus, mean postoperative hospital stay was 10 days. Conclusion： Complex renal tumors with venous tumor thrombus radical resection difficult and dangerous,according to the different patients to choose the right surgical approach, a reasonable exposure, control of blood vessels, fine separation techniques can increase the safety of operation and the success race,it is worth advocating and promoting.

关 键 词：根治性肾切除 经腹腔入路 瘤栓 经验 

分 类 号：R699.2[医药卫生—泌尿科学]