后腹腔镜下保留肾单位手术治疗肾肿瘤的临床分析  

The clinical analysis of retroperitoneal laparoscopic nephron sparing surgery for the therapy of kidney neoplasm

作　　者：陈晓波[1] 董自强[1] 张路生[1] 李万强[1] 王婵[1] 

机构地区：[1]三峡大学第一临床医学院泌尿外科三峡大学泌尿外科研究所,湖北宜昌443003

出　　处：《中华肿瘤防治杂志》2016年第S1期172-173,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的探讨后腹腔镜下保留肾单位手术(NSS)治疗肾肿瘤的有效性及手术技巧。方法对我院2013-01-2015-12收治的20例肾肿瘤患者行后腹腔镜NSS,对其疗效和手术技巧进行分析。结果 18例患者成功实施后腹腔镜NSS,2例中转开放,手术时间(103.2±2.1)min;肾动脉阻断时间(28.5±6.4)min;术中出血(161.2±4.1)mL,病检切缘均为阴性,术后住院时间(7.3±1.2)d,术后随访3~25个月,未见肿瘤复发及肾功能异常。结论后腹腔镜NSS治疗肾肿瘤安全有效,创伤小,恢复快,值得有一定腹腔镜经验的单位推广应用。OBJECTIVE To explore the efficacy and surgical techniques of retroperitoneal laparoscopic nephron sparing surgery(RLNSS)for kidney neoplasm.METHODS 20 patients with kidney neoplasm received in our hospital from Jan 2013 to Dec 2015 were treated with RLNSS,and the curative effect and surgical techniques were analyzed.RESULTS The RLNSS was completed in 18 cases,and 2cases were converted to open surgery.The operation time and ischemia time was(103.2±2.1)min and(28.5±6.4)min.The blood loss was(161.2±4.1)mL.Pathologic results revealed negative surgical margins in all cases.The hospital stay after the surgery was 7.3±1.2d.There were no tumor recurrences and no abnormal renal function during the followed-up of 3to 25 months.CONCLUSIONS RLNSS was safe and efficient,and has various advantages for less tissue trauma,faster recovery,and less complication.

关 键 词：肾肿瘤 保留肾单位手术 后腹腔镜 

分 类 号：R737.11[医药卫生—肿瘤]