腹膜后腹腔镜肾癌根治术的体会(附38例报告)

Clinical experience in radical nephrectomy via 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38例的临床资料。结果38例腹腔镜肾癌根治手术均获成功，手术时间70—180min，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。结论腹膜后腹腔镜肾癌根治术是一种安全、有效的治疗方法，具有损伤小、安全有效、可行、恢复快等优点，具有良好的临床应用前景，但是应重视穿刺孔种植转移问题。

Objective To summarize the experience in retroperitoneal laparoscopic radical nephrectomy for renal carcinoma. Methods The clinical data of 38 cases treated by retroperitoneal laparoscopic renal radical resection were analyzed retrospectively. Results All cases were operated on successfully by using retroperitoneal laparoscopic procedures. The operative time ranged from 70 to 180 min （ mean 120 min）. The blood loss was 50 to 400 ml （ mean 150 ml）. No recurrence occured during the follow - up of 0.5 to 5 years. Conclusion Retroperitoneal laparoscopic nephrectomy is a superior surgical procedure, safe, effective and feasible, causing rather little trauma, healing speedily, except for the cautions against the transplant metastasis at the trocar wound.