腹膜后腹腔镜肾癌根治术的体会(附58例报告)

The experience of radical nephrectomy with retroperitoneal laparoscopy for renal carcinoma

目的:总结后腹腔镜肾癌根治性切除术的经验。方法:回顾分析行后腹腔镜肾癌根治性切除术58例的临床资料。结果:58例腹腔镜肾癌根治手术均获成功,手术时间50～185min,平均120min。术中出血量50～400ml,平均150ml。随访0.5～5年,均无复发,穿刺孔种植转移1例。结论:后腹腔镜肾癌根治术是一种安全、有效的治疗方法,应重视穿刺孔种植转移问题。

Objective：To summarize the experience of retroperitoneal laparoscopic renal carcinoma raidical correction.Methods：The clinical data of 58 cases by retroperitoneal laparoscopic renal radical correction were analyzed retrospectively.Results：All cases were performed successfully by retroperitoneal laparoscopic procedure.Operative time ranged from 50 to 185min（mean 120min）.The blood loss was 50-400ml（mean 150ml）.No recurrence occured during the follow-up of half to five years.Conclusions：Retroperitoneal laparoscopic nephrectomy is a safe,effective and efficient surgical procedure.