后腹腔镜肾癌根治术经验总结及体会  

The experience of radical nephrectomy by retroperitoneal laparoscopic

作　　者：毕晓方[1] 王春晖[1] 史云强[1] 李珲[1] 李健[1] 郑影[1] 杨洋[1] 钟一鸣[1] 

机构地区：[1]昆明医科大学附属延安医院,云南昆明650051

出　　处：《中国医学创新》2013年第18期13-15,共3页Medical Innovation of China

摘　　要：目的:探讨后腹腔镜肾癌根治术手术方法及经验总结。方法:总结2008年至今16例后腹腔镜肾癌根治术病例,均采用观察镜直视法建立腹膜外间隙,以内侧弓状韧带和膈肌脚为解剖标志帮助寻找肾动脉。结果:除平均手术时间外,平均失血、术后肠道功能恢复时间、术后进食时间、术后拔除负压引流管时间、平均住院天数均较短,未发生严重并发症。结论:后腹腔镜肾癌根治术手术创伤小、术后恢复快,较开放手术具有明显的优势。Objective： To Investigate and summarize radical nephrectomy by retroperitoneal laparoscopic. Method： Sixteen cases of renal carcinoma were included in this study, 6 cases with left kidney lesion and 10 right kidney. All the patients underwent retroperitoneal laparescopic radical nephrectomy. All of 16 cases established extraperitoneal space by direct vision, medial arcuate ligament and crura of diaphragm as the Anatomic landmarks of renal artery. Result： The average blood loss, postoperative intestinal function recovery time, postoperative feeding time, postoperative to disconnect suction drainage tube time, the average number of hospital stay were shorter than open surgical, except for average operation time, and no severe complications observed. Conclusion： Radical nephrectomy by retroperitoneal laparoscopic with minimally surgical trauma, rapid postoperative recovery, which has obvious advantages.

关 键 词：后腹腔镜 肾癌根治术 

分 类 号：R737.11[医药卫生—肿瘤]