手助腹腔镜根治性肾肿瘤切除术(附36例报告)

Hand-assisted laparoscopic radical nephrectomy (report of 36 cases)

目的探讨手助腹腔镜根治性肾肿瘤切除术的临床应用价值。方法采用手助腹腔镜行根治性肾肿瘤切除术36例。结果36例手助腹腔镜手术全部成功,手术时间65～220min,平均105min;术中出血20～200mL,平均85mL;术后住院5￣11d。结论手助腹腔镜根治性肾肿瘤切除术不仅具有常规腹腔镜创伤小、失血少、恢复快的优点,更具有传统开放手术安全、彻底、手术时间短的优点,是根治性肾肿瘤切除术可选择的新的手术方式。

[Objective] To evaluate the feasibility and clinical efficacy of Hand-assisted Laparoseopic radical nephreetomy（HALRN）. [Methods] 36 patients with renal cell carcinoma received Hand-assisted Laparoseopie rad- ical nephreetomy. [Results] All 36 patients were perfomaed with Hand-assisted Laparoseopy successfully, the operation time ranged from 65 to 220 mins, average time being 105 mins; the blood loss during operations was 20 to 200 mL, average blood loss being 85 mL; the hospital stay was 5 to 11 days. [Conclusions] Hand-assisted Laparoseopie radical nephreetomy not only has the advantages of miero-invasiveless, less blood loss, short time recover to normal as in Pure Laparoseopie Surgery, but also has the advantages of safe, short operation time as in traditional open operation, is a new alternative surgical technique for radical nephreetomy.