基层医院腹膜后腹腔镜肾癌根治术的临床研究  

Clinical study of retroperitoneal laparoscopic radical nephrectomy in primary hospital.

作　　者：刘志勇 石明[2] 曾林 

机构地区：[1]江油市第四人民医院,四川江油621702 [2]四川大学华西医院

出　　处：《今日健康》2014年第11期60-61,共2页

摘　　要：目的探讨基层医院行腹膜后腹腔镜肾癌根治术的临床效果和方法。方法回顾分析2012年8月至2014年5月20例肾癌患者行腹膜后腹腔镜肾癌根治术的临床资料，并结合文献进行分析。结果20例手术均获成功，无中转开放手术及严重并发症发生，术中均未输血。镜下操作时间平均（84．10±19．98）min，术中出血量平均（45．85±30．18）ml，术后平均住院时间（7．55±0．94）d。术后病理结果均为透明细胞癌，术后随访6—12个月，均无复发、穿刺通道的种植和远处转移。结论腹膜后腹腔镜肾癌根治术治疗肾癌效果显著，并发症少，术后患者康复快，值得在基层医院推广应用。Objective To investigate the clinical effect and method of retroperitoneal laparoscopic radical nephrectomy in primary hospital. Methods The Clinical deta of 20 cases of renal cancer of whom of underwent retroperitoneal laparoscopic radical nephrectomy from Aug 2012 to May 2014 and corresponding Literature. Results All the operations were completed successfully without any serious complications. No case was converted to open operation.The mean laparoscopic operation time was （84.10 ± 19.98）rain.the mean blood loss was （45.85 ± 30.18）ml land the mean postoperative hospital stay was （7.55 ± 0.94）d. No case need blood transfusion. Pathological results suggested clear cell carcinoma.puncture channel planting or distant metastasis occurred during the 6--12 month foUow-up. Conclusion tketroperitoneal laparoscopic radical nephrectomy has significant effect and fewer complications for kidney cancer patients.The patients recover quickly postoperatively.It is worth popularized in primary hospital.

关 键 词：肾肿瘤 腹腔镜检查 腹膜后途径 基层医院 

分 类 号：R737.110.5[医药卫生—肿瘤]