论文部分内容阅读
目的探讨后腹腔镜肾切除术的临床应用价值。方法回顾分析27例后腹腔镜肾切除术的临床资料。结果27例患者均手术均成功。手术时间92~250 min,平均130.7 min;术中出血40~830 ml,平均216 ml;1例术中输血200 ml,术中和术后未发生严重的并发症。术后随访1~48个月,4例肾癌患者未见肿瘤复发或转移。结论后腹腔镜肾切除术对患者损伤小、术后康复快、有良好的临床应用前景。
Objective To investigate the clinical value of retroperitoneal nephrectomy. Methods Retrospective analysis of 27 cases of retroperitoneal nephrectomy clinical data. Results All the 27 patients were operated successfully. The operation time ranged from 92 to 250 minutes (average 130.7 minutes). The intraoperative blood loss ranged from 40 to 830 ml (mean, 216 ml). One case had intraoperative blood transfusion of 200 ml. No serious complications occurred during and after operation. All cases were followed up for 1 ~ 48 months. No tumor recurrence or metastasis was found in 4 cases of renal cell carcinoma. Conclusions Retroperitoneal laparoscopic nephrectomy in patients with small injury, rapid recovery after surgery, have good clinical application prospects.