后腹腔镜肾癌根治术28例临床体会

Retroperitoneal Laparoscopic Radical Nephrectomy:An Experience of 28 Cases

目的探讨后腹腔镜肾癌根治术的临床疗效。方法对28例行后腹腔镜肾癌根治性切除术治疗的肾细胞癌患者的临床资料进行回顾性分析。结果 28例患者手术均获成功,平均手术时间116 min(96～175 min),平均术中出血量96 mL(70～500 mL),术后平均住院时间8.5 d(7～10 d)。术后切口感染1例,腹膜破裂3例,伤口愈合延迟1例。随访3～24个月,未见肿瘤复发及穿刺通道的种植转移。结论后腹腔镜肾癌根治术疗效确切、创伤小、安全性高。

Objective To assess the curative efficacy of retroperitoneal laparoscopic radical nephrectomy（RLRN） in patients with renal cell carcinoma.Methods The clinical data of 28 patients with renal cell carcinoma who underwent RLRN were retrospectively analyzed.Results All patients received RLRN successfully.The mean surgical time was 116 minutes（range 96 to 175 minutes）,mean blood lose was 96 mL（range 70 to 500 mL）,and mean postoperative hospital stay was 8.5 days（range 7 to 10 days）.Among the 28 patients wound infection in 1 cases,3 had pleural rupture,and 1 had delayed healing of port sites.No tumor recurrence and implantation metastasis at the puncture site was observed during 3 to 24 months of follow-up.Conclusion RLRN is effective,mini-invasive and safe for renal cell carcinoma.