后腹腔镜下肾癌根治术的临床应用  

Clinical application of retroperitoneal laparoscopic radical nephrectomy

作　　者：傅光华[1] 赖建平[1] 郭鹏飞[1] 文小平[1] 

机构地区：[1]宜宾市第一人民医院泌尿外科,四川宜宾644000

出　　处：《西部医学》2012年第8期1582-1584,共3页Medical Journal of West China

摘　　要：目的评价后腹腔镜下肾癌根治术的安全性及临床疗效。方法回顾性分析51例后腹腔镜肾癌根治术患者的临床资料。结果 51例手术均获得成功,手术时间为80～150min,平均115min;估计出血量50～150ml,平均80ml。术后住院7～12天,平均9天,术后肠功能恢复时间2～3天,术后随访3～24个月,平均随访8个月,无肿瘤复发及转移。结论后腹腔镜下肾癌根治术微创,安全有效,具有出血少、损伤小、术后恢复快、疼痛轻、住院时间短等优点,采用丝线结扎处理肾血管安全可靠,可降低手术成本。Objective To evaluate the safety and clinical effectiveness of retroperitoneal laparoscopic radical nephrectomy.Methods The clinical data of 51 patients with renal carcinoma were studied.Results 51 patients were operated successfully.The operation time ranged from 80 to 150 minutes（mean 115 min）,the blood loss from 50 to150 ml（mean 80 m1）,the postoperation hospital stay from 7 to 12 days（mean 9 d） and the time for intestinal function recovery from 2 to 3 days.The postoperative follow up was conducted for 3 to 24 months（mean 8 months）,without recurrence and metastasis.Conclusions Retroperitoneal laparoscopic radical nephrectomy possesses the advantages of micro-invasion,effectiveness and satety,less blood loss,rapid rehabilitation after operation,short inpatient time.It’s safe and reliable to ligature renal vessel by silk thread,and can reduce the cost of surgery.

关 键 词：后腹腔镜 肾癌 肾癌根治术 

分 类 号：R737.11[医药卫生—肿瘤]