后腹腔镜保留肾单位手术治疗肾脏巨大错构瘤的临床研究  

Retroperitoneal laparoscopic nephron--sparing surgery for giant renal angiomyolipoma

作　　者：赵红伟[1] 王科[1] 林春华[1] 王琳[1] 张智宇[1] 王辉[1] 赵海卫[1] 高振利[1] 

机构地区：[1]青岛大学附属烟台毓璜顶医院泌尿外科,山东烟台264000

出　　处：《中国医学前沿杂志（电子版）》2017年第1期103-106,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：山东省自然科学基金(ZR2013HL070);烟台市科技发展计划(2014WS007)

摘　　要：目的探讨后腹腔镜保留肾单位手术治疗肾脏巨大错构瘤的有效性和安全性。方法回顾性分析本院2011年7月至2016年11月16例肾脏巨大错构瘤保留肾单位手术患者的临床资料,其中,男4例,女12例;年龄24~63岁,平均43岁;右侧7例,左侧9例;肿瘤大小为(10 cm×7 cm)^(17 cm×14 cm),最大直径平均为12 cm。结果 16例手术全部成功,术中无中转开放手术,术后恢复良好。平均手术时间为(74.2±7.2)分钟,平均肾动脉阻断时间为(19.8±5.3)分钟,术中出血量为(85.3±18.2)ml,平均术后住院天数为(6.0±1.1)天。术后随访2~64个月,无肿瘤复发。结论后腹腔镜保留肾单位手术是治疗肾脏巨大错构瘤的选择性治疗方法,安全可靠,值得推广。Objective To evaluate the efficacy and safety of retroperitoneal laparoscopic nephron-sparing surgery for giant renal angiomyolipoma. Method 16 cases of hugerenal hamartomawith the nephron sparing surgeryin our hospital were retrospectively reviewed from July 2011 to November 2016. 4 patients were male, 12 patients were female. The mean age was 43 years old（24 ~ 63 years）.6 cases were on left side, 9 cases on the right. Tumor size was（10 cm×7 cm） ^（17 cm×14 cm）, mean maximum diameter was 12 cm. ResultAll procedures were successfully performed without open conversion. The mean operative time was（74.2±7.2） minutes. The mean warm ischemia time was（19.8±5.3） minutes, and the mean blood loss was（85.3±18.2） ml. The mean hospital stay after operation was（6.0±1.1） days. No intraoperative or postoperative complication occurred. All patients had 2 ~ 64 months follow-ups and no tumor recurrence were found. Conclusion Retroperitoneal laparoscopic nephron-sparing surgery is a a feasible option for selective patients with giant renal angiom yolipoma due to its safety and feasibility.

关 键 词：腹腔镜 保留肾单位手术 肾脏巨大错构瘤 

分 类 号：R737.11[医药卫生—肿瘤]