腹腔镜下保留肾单位的肾部分切除术治疗肾癌的临床分析  

Clinical analysis of retroperitoneal laparoscopic nephron sparing partial nephrectomy for treatment of renal carcinoma

作　　者：左立[1] 邹建纲[1] 周忠兴[1] 吴小鹏[1] 刘伟民[1] 苏彤[1] 陈静[1] 蒋晓东[1] 魏盖杰[1] 李寿春[1] 张力峰[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院泌尿外科,常州213003

出　　处：《上海医药》2012年第22期35-37,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨腹腔镜下保留肾单位肾部分切除术治疗肾癌的临床经验。方法:2009年7月到2011年08月,随访观察我院45例T1期肾癌患者行腹腔镜下保留肾单位肾部分切除术的疗效。结果:所有患者腹腔镜下保留肾单位肾部分切除术均成功完成,平均手术时间为108min(80～190min),肾动脉平均阻断时间为26min(19～45min),术中平均出血130ml(30～400ml),无一例输血,术后继发性出血1例,经对症治疗后好转。术后病理示透明细胞癌36例,乳头状细胞癌3例,嫌色细胞癌2例,颗粒细胞癌1例。术后随访4～28个月,未见肿瘤复发及转移。结论:腹腔镜下保留肾单位肾部分切除术治疗T1期肾癌安全有效。Objective： To evaluate the clinical effect of retroperitoneal laparoscopic partial nephrectomy（RLPN） for the treatment of renal carcinoma. Method： From July 2009 to August 2011, 45 patients of T 1 stage renal carcinoma who underwent retroperitoneal laparoscopic nephron sparing partial nephrectomy were followed up. Result： The operations were successfully completed. The average operative time was 108 minutes （ranged 80-190min）, the average clamping time was 26min （ranged 19- 45min）, the intraoperative blood loss was 130ml （ranged 30-400ml）. No patient needed transfusion. The major post-operative complication was secondary bleeding in 1 case. Pathological examinations showed that 36 cases were clear cell carcinoma, 3 cases were papillary cell carcinoma, 2 cases were chromophobe cell carcinoma, and 1 case was granular cell carcinoma. No metastasis and recurrence were observed during follow-up period. Conclusion： Retroperitoneal laparoscopic partial nephretomy is a safe and effective method for the patients with T1 stage renal carcinoma.

关 键 词：肾肿瘤 腹腔镜术 肾部分切除术 

分 类 号：R737.11[医药卫生—肿瘤]