后腹腔镜技术在泌尿系肿瘤手术中的应用

Application of retroperitoneal laparoscopic surgery for urological cancer

目的总结后腹腔镜技术治疗泌尿系肿瘤的体会。方法采用后腹腔镜切除泌尿系肿瘤87例,其中,肾癌26例,肾盂癌14例,肾上腺肿瘤47例。结果腹腔镜下行根治性肾切除术26例,肾盂癌根治术14例,肾上腺肿瘤切除术47例。其中术中中转开放3例。手术并发症:下腔静脉损伤1例,腹膜损伤2例,皮下气肿2例,CO2储留导致麻醉苏醒延迟1例。结论 后腹腔镜手术治疗泌尿系肿瘤创伤小,并发症少,患者术后恢复快。

Objective To summarize the experiences of retroperitoneal laparoscopic surgery for urological cancer.Methods Retroperitoneal laparoscopic operations were performed in 87 patients with urological cancer,which were renal carcinoma in 26 cases,renal pelvic carcinoma in 14 cases,and adrenal tumors in 47 cases.Results All of operations were successful with retroperitoneal laparoscopy except that 3 cases were converted to open surgery.The operations performed included radical nephrectomy in 26 cases,nephroureterectomy in 14 cases,and adrenalectomy in 47 cases.The intra-and post-operative complications included the injury of the inferior vena in 1 case,injury of the peritoneum in 2 cases,and subcutaneous emphysema in 2 cases.Conclusion Treatment of urological cancer with retroperitoneal laparoscopic surgery has the advantages of less trauma and complication,better postoperative discomfortability and quicker recovery.