论文部分内容阅读
目的:探讨后腹腔镜肾癌根治术的手术技巧和临床效果。方法:回顾性分析2008年1月～2010年1月行后腹腔镜肾细胞癌根治术患者63例临床资料:肿瘤位于左侧41例,右侧22例;肾上极18例,中极31例,下极14例。肿瘤直径2.1～7.8 cm,平均5.3 cm。术前肿瘤分期为T_1 N_0 M_0 59例,T_1 N_1 M_0 2例,T_2N_0 M_0 2例。结果:手术时间94～198 min,平均125 min。术中出血量35～400 ml,平均84 ml。术后住院时间7～12天,平均8天。术后肠功能恢复时间1～2天。术后随访6～24个月,平均15个月,无局部复发或远处转移。结论:后腹腔镜肾细胞癌根治术具有出血少、术后恢复快的优点,是一种安全、有效的手术方法。
Objective: To investigate the surgical technique and clinical effect of retroperitoneal laparoscopic radical nephrectomy. Methods: The clinical data of 63 patients with retroperitoneal laparoscopic radical nephrectomy from January 2008 to January 2010 were retrospectively analyzed. The tumors were located on the left side in 41 cases and on the right side in 22 cases. The upper renal pole in 18 cases and the middle pole in 31 cases For example, the lower pole in 14 cases. Tumor diameter 2.1 ~ 7.8 cm, an average of 5.3 cm. Preoperative tumor staging T_1N_0 M_0 59 cases, T_1N_1 M_0 2 cases, T_2N_0 M_0 2 cases. Results: The operative time ranged from 94 to 198 minutes with an average of 125 minutes. Intraoperative bleeding 35 ~ 400 ml, an average of 84 ml. Postoperative hospital stay 7 to 12 days, an average of 8 days. Postoperative bowel function recovery time of 1 to 2 days. All the patients were followed up for 6-24 months, with an average of 15 months. There was no local recurrence or distant metastasis. Conclusions: Retroperitoneal laparoscopic radical nephrectomy has the advantages of less bleeding and quick recovery after operation, which is a safe and effective surgical method.