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目的总结后腹腔镜技术治疗泌尿系肿瘤的体会。方法采用后腹腔镜切除泌尿系肿瘤87例,其中,肾癌26例,肾盂癌14例,肾上腺肿瘤47例。结果腹腔镜下行根治性肾切除术26例,肾盂癌根治术14例,肾上腺肿瘤切除术47例。其中术中中转开放3例。手术并发症:下腔静脉损伤1例,腹膜损伤2例,皮下气肿2例,CO2储留导致麻醉苏醒延迟1例。结论 后腹腔镜手术治疗泌尿系肿瘤创伤小,并发症少,患者术后恢复快。
Objective To summarize the experience of retroperitoneal laparoscopic treatment of urinary tumors. Methods Laparoscopic resection of urinary tumors in 87 cases, of which 26 cases of renal cell carcinoma, renal pelvis cancer in 14 cases, 47 cases of adrenal tumors. Results Laparoscopic radical nephrectomy in 26 cases, radical resection of renal pelvis in 14 cases, adrenal tumor resection in 47 cases. Among them, 3 cases were switched to open surgery during operation. Complications of surgery: 1 case of inferior vena cava injury, 2 cases of peritoneal injury, 2 cases of subcutaneous emphysema, CO2 storage led to delayed anesthesia in 1 case. Conclusions Retroperitoneal laparoscopic surgery for urinary tract tumors has fewer traumas and fewer complications, and the patients recover quickly after operation.