经腹腔入路腹腔镜根治性肾切除术的体会  

Transperitoneal laparoscopic radical nephrectomy

作　　者：柳其中[1] 田凯[1] 姚大强[1] 

机构地区：[1]漯河市中心医院,河南漯河462000

出　　处：《腹腔镜外科杂志》2014年第10期736-738,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨经腹腔途径腹腔镜局限性肾癌根治术的安全性及有效性。方法：回顾分析2008年9月至2013年2月采用经腹腔途径行腹腔镜根治性肾切除术治疗58例局限性肾癌患者的临床资料,其中男39例,女19例,平均（55.0±9.9）岁,左侧35例,右侧23例,肿瘤直径平均（4.6±0.4）cm。结果：57例腹腔镜手术成功,1例中转开放手术。手术时间平均（113.0±21.8）min,术中估计失血量平均（128.0±27.4）ml,术后平均（1.9±0.5）d肛门排气,术后2 d下床活动,无输血及严重并发症发生。术后病理均诊断为肾细胞癌。术后随访12-24个月,无肿瘤复发及穿刺通道转移。结论：经腹腔途径腹腔镜局限性肾癌根治术具有患者创伤小、出血少、康复快的优点,是治疗局限性肾癌安全、有效的术式。Objective： To discuss the efficacy and safety of transperitoneal laparoscopic radical nephrectomy in the treatment of local renal neoplasms. Methods： The clinical data of 58 cases who suffered from local renal cancer and underwent transperitoneal laparoscopic radical nephrectomy from Sep. 2008 to Feb. 2013 were retrospectively analyzed,including 39 males and 19 femals. The average age was（ 55. 0 ± 9. 9） years old. Neoplasmas located at left kidney in 35 cases,right in 23 cases. The average neoplasms diameter was（4.6 ±0.4） cm. Results：One case was converted to open operation,the others were successfully performed laparoscopy. The average operation time was（ 113. 0 ± 21. 8） min. Estimated average blood loss was（ 128. 0 ± 27. 4） ml. Patients passed gas in（ 1. 9 ± 0. 5） d postoperatively,average time to ambulation was 2 d after operation. No serious complications or blood transfusion occurred. All patients were pathologically diagnosed with renal cell carcinomd. The patients were followed up for 12-24 months,no local neoplasms recurrence or port site metastasis were found. Conclusions： Transperitoneal laparoscopic radical nephrectomy in the treatment of local renal cancer has advantages of few trauma,little blood loss and rapid recovery. It is a safe and effective method for the treatment of local renal neoplasms.

关 键 词：肾肿瘤 肾切除术 腹腔镜检查 经腹腔路径 

分 类 号：R737.11[医药卫生—肿瘤]