后腹腔镜肾部分切除术治疗T_(1b)期肾癌疗效分析(附31例报告)  

Efficacy of retroperitoneal laparoscopic partial nephrectomy for T_(1b) stage renal tumors(Report of 31 cases)

作　　者：汪家骏[1,2] 滕竞飞[1] 贾卓敏[1] 关亚伟[1] 王健[1] 高峰[1] 郑清友[1] 艾星[1] 

机构地区：[1]北京军区总医院泌尿外科,北京100700 [2]湖北省仙桃市第三人民医院泌尿外科

出　　处：《临床泌尿外科杂志》2015年第3期196-199,共4页Journal of Clinical Urology

基　　金：国家自然科学基金青年科学基金资助项目(编号81400701)

摘　　要：目的：总结T1b期肾肿瘤行后腹腔镜肾部分切除术的手术经验,探讨其安全性及疗效。方法：回顾性分析我院2009年4月~2014年3月行后腹腔镜肾部分切除术的31例T1b期肾肿瘤患者的临床资料,并与同期行后腹腔镜肾部分切除术的35例T1a期肾肿瘤患者的临床资料进行比较。结果：31例T1b期患者中,除1例因切缘阳性改行后腹腔镜根治术外,其余患者手术均获成功,无中转开放手术者。围手术期1例发生漏尿,无其它并发症发生。术后1个月肾功能均在正常范围内。结论：后腹腔镜肾部分切除术治疗T1b期肾癌是一种创伤小、安全可靠、疗效确切的手术方法,值得进一步研究和推广。Objective：To introduce the experience and evaluate the safety and efficacy of retroperitoneal laparoscopic partial nephrectomy for patients with T1 bstage renal tumors.Method：Thirty-one patients with T1 brenal tumors underwent retroperitoneal laparoscopic partial nephrectomy in our department from April 2009 to March2014.The clinical data were retrospectively analyzed and compared with 35 patients with T1 atumors undergoing the same surgery at the same time.Result：All patients with T1 btumors were operated successfully without conversion to open surgery,except one case was converted to radical nephrectomy because of positive margin.Perioperative complications included only one urine leakage.Postoperative renal function remained within the normal range one month postoperatively.Conclusion：Retroperitoneal laparoscopic partial nephrectomy is a feasible approach and can be safely performed for selected patients with T1 bstage renal tumors.

关 键 词：肾肿瘤 后腹腔镜肾部分切除术 疗效 

分 类 号：R737.11[医药卫生—肿瘤]