早期肾癌行后腹腔镜肾部分切除术11例报告  

Retroperitoneal laparoscopic partial nephrectomy for early renal carcinoma (report of 11 cases)

作　　者：杨光天[1] 方毅[1] 温峰[1] 赵海岩[1] 杨文发[1] 

机构地区：[1]江苏连云港市第一人民医院泌尿外科,222002

出　　处：《现代泌尿生殖肿瘤杂志》2013年第2期71-72,76,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨早期肾癌行后腹腔镜肾部分切除术的临床疗效。方法回顾性研究2008年7月至2012年1月11例早期肾癌行后腹腔镜肾部分切除术的患者资料。结果 11例手术全部成功,肿瘤直径为1.7～5.2cm,平均3.3cm;手术时间73～189min,平均(135±27)min;术中出血80～740ml,平均(260±50)ml;热缺血时间16～57min,平均(29±9)min;术后住院7～12d,平均(9.3±2.1)d。随访9～51个月,均无瘤生存,肾功能良好。结论早期肾癌行后腹腔镜肾部分切除术创伤小、疗效确切,可以有效保留肾脏功能。Objective To evaluate the clinical effect of retroperitoneal laparoscopic partial nephrec tomy for early renal carcinoma. Methods 11 patients with early renal carcinoma were underwent retro peritoneal laparoscopic partial nephrectomy from July 2008 to January 2012. Results All 11 patients received retroperitoneal laparoscopic partial nephrectomy successfully. The mean diameter of tumor was 3.3 cm （range 1.7 5.2 cm）. The mean time of surgery was 135 min （range 73-189 min）, mean blood loss was 260 ml （range 80-740 ml）, mean warrn ischemic time was 29 min （range 16-57 min）, mean postoperative hospital stay was 9.3 days （range 7-12 days）. Followed up from 9 months to 51 months, each patient survived with no recurrence and metastasis with normal renal function. Con- clusions Retroperitoneal laparoscopic partial nephrectomy is an effective, mini invasive method for early renal carcinoma.

关 键 词：肾肿瘤 腹腔镜 肾部分切除术 

分 类 号：R737.11[医药卫生—肿瘤]