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目的对后腹腔镜下肾脏切除术的临床疗效进行探讨分析。方法我院于2002年至2011年12月期间行后腹腔镜下肾脏切除术的患者共82例,其中45例为男性,37例为女性。年龄28至72周岁,平均年龄(48.2±22.5)岁。肾癌患者中,7例为因无痛性全程肉眼血尿就诊,体检发现的为40例。肿瘤直径为1.1至7.8cm,平均(4.2±1.1)cm。对上述患者进行术前及术后临床分析。结果手术时间0.5至3小时,平均时长(52.7±28.0)min;出血量在21至1200ml之间,平均出血量为(120±68)ml;平均住院天数为(8.0±4.84)天。除术前已出现癌细胞转移迹象的患者外,没有出现肾窝或切口的癌细胞转移。行单纯肾脏切除的患者均无死亡。结论腹腔镜下肾脏切除术在手术切口、出血量、术后患者适应情况等方面,都较传统的开放手术具有明显的优势,在临床应用上具有重要意义。
Objective To investigate the clinical effect of retroperitoneal laparoscopic nephrectomy. Methods A total of 82 patients underwent laparoscopic nephrectomy in our hospital from 2002 to December 2011, of which 45 were male and 37 were female. Age 28 to 72 years, mean age (48.2 ± 22.5) years. Among the patients with renal cell carcinoma, 7 were referred for gross painless hematuria and 40 were found on physical examination. Tumors were 1.1 to 7.8 cm in diameter with an average of (4.2 ± 1.1) cm. Preoperative and postoperative clinical analysis of the above patients. Results The operation time ranged from 0.5 to 3 hours with a mean duration of (52.7 ± 28.0) min. Bleeding volume ranged from 21 to 1200 ml. The mean bleeding volume was (120 ± 68) ml. The average length of hospital stay was (8.0 ± 4.84) days. Except for patients who had had signs of cancer metastasis before surgery, there was no metastasis of the renal cell or incision in the cancer cells. None of the patients who underwent simple nephrectomy died. Conclusion Laparoscopic nephrectomy has obvious advantages over traditional open surgery in surgical incision, bleeding volume and postoperative patients’ adaptation, which is of great significance in clinical application.