后腹腔镜下肾癌根治性切除术的临床分析_张志刚.pdf

# 38# 医药论坛杂志 2010年 10月 第 31卷 第 19期 张志刚, 王祥波, 涂传全, 薛 鹏, 柳兴明, 杨光天, 方 毅 222000 探讨后腹腔镜下肾癌根治性 除的疗效 对 26例肾癌患者行后腹腔镜肾癌根治性 除术, 肿瘤大小 1~ 5 cm, 平均 31 2cm术前分期 T N M 10例, T N M 16例 手术时间 60~ 150m in, 平 1 0 0 2 0 0 均 105m in, 出血量 50~ 800m l, 平均 120m l中转开腹 1例, 原因为肾静脉损伤出血随访 6~ 36 个月, 26例均无 瘤生存 后腹腔镜下肾癌根治术 口小, 恢复快, 效果好, 值得临床推广 肾肿瘤; 后腹腔镜; 肾 除 : R737111 : B : 1672-3422( 2010) 19-0038-03 Clinical Study ofRetroperitoneoscopicRadicalNephrectomy ZHAN G Zhigang , WAN G X iangbo, TU Chuanquan, et al TheAff fi liated L ianyungang H osp ital of X uzhouM ed i al College, L ianyungang 222000, China ABSTRACT Objective To eval ate the efficacy of retroperitoneoscopic rad ical nephrectomy. Methods From O ctober 2003 to M ay 2010, 26 patients nderw ent retroperitoneoscop ic radical ne- phrectomy in o r department. The t mors sized 1~ 5 cm (mean 312cm ) in diameter. Before the opera- tion, 10 patientsw ere in stage T N M , 16 in stage T N M . Results The operation tmi e w as 60 ~ 1 0 0 2 0 0 150 m in(m ean 105m in), and the blood lossw as 50~ 800m l( mean 120m l ). 1 patientsw ere conver- ted to open s rgery. Beca se of hemmrrhage ca sed by the inj ry of renal artery. The patientsw ere fo-l low ed p for6~ 36months, 26patients s rvivedw itho t t mor. Conclusion Retroperitoneoscopic rad- ical neprectomy is m ini- invasive and effective for renal carcinoma. The patients recover q ickly after the s rgery. The proced re isw orth being w ildly sed. KE WORDS K idney neop lasm s; R etroperitoneal laparoscopy; Nephrectomy 2003 10 , 600 ) 2010 5 26