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目的:探讨后腹腔镜肾癌根治术的手术方法及其临床效果。方法:本组患者均采用气管插管麻醉。在腹腔镜下行患肾切除术。结果:手术时间100～160分钟,平均120分钟;术中出血量40～300ml,平均80ml。肠道恢复时间为术后1～3天,平均1.5天。术后2～4天开始进食。手术后7～12天痊愈出院。术后随访1～19个月,平均随访8个月,一般状况均良好,无肿瘤复发及转移。结论:后腹腔镜肾癌根治术具有创伤小、解剖清晰、术中出血少、术后恢复快等优点,是一种安全、有效的治疗方法。
Objective: To investigate the surgical method and clinical effect of retroperitoneal laparoscopic radical nephrectomy. Methods: The patients were tracheal intubation anesthesia. Laparoscopic nephrectomy. Results: The operation time was 100-160 minutes with an average of 120 minutes. The blood loss during operation was 40-300 ml with an average of 80 ml. Intestinal recovery time after 1 to 3 days, an average of 1.5 days. After 2 to 4 days to start eating. 7 to 12 days after surgery cured. The patients were followed up for 1 to 19 months and were followed up for an average of 8 months. The general condition was good, with no tumor recurrence and metastasis. Conclusions: Retroperitoneal laparoscopic radical nephrectomy is a safe and effective method for treatment of renal cell carcinoma with less trauma, clear anatomy, less intraoperative bleeding and quick recovery after operation.