摘要
目的评价后腹腔镜下肾肿瘤根治性切除术的安全性及疗效。方法后腹腔镜下行肾根治性切除术21例，其中肾癌19例，肾盂癌1例，上段输尿管癌1例。对手术过程进行总结，术后疗效进行随访观察。结果21例手术均获成功。术中腹膜破裂共7例，其中采用改良逆行分离肾周脂肪囊与腹膜间隙方法的14例中，仅2例发生腹膜破裂。所有患者术后随访1-16个月，平均7个月，均无瘤生存。结论早期肾癌行后腹腔镜下肾癌根治术安全可靠，手术层次清晰，疗效良好，逆行分离肾周脂肪囊与腹膜间隙可以避免腹膜破裂。
Objective To evaluate the safety and efficacy of retroperitoneoscopic radical nephrectomy. Methods Retropefitoneoscopic radical nephrectomy was performed in a total of 21 patients. The masses removed averaged 4.6 cm （ranged 2.5 - 6.2 cm） in diameter and were of clinical stage T1 N0 M0. Results Success was achieved in all cases. Adrenalectomy was perfomed on 19 patients. Nephro- ureterectomy was performed in 1 case of renal pelvic carcinoma and 1 ureteral carcinoma. Rupture of peritoneum occurred on table in 7 cases. Follow - up for 1 - 16 months （mean 7 months） showed all patients survived without cancer. Conclusion Retropefitoneoscopic radical nephrectomy is safe and effective. A method is recommended to avoid peritoneal rupture.
出处
《徐州医学院学报》
CAS
2006年第6期518-520,共3页
Acta Academiae Medicinae Xuzhou
关键词
肾肿瘤
腹腔镜
肾切除术
kidney neoplasms
laparescopy
nephrectomy
