后腹腔镜肾癌根治术50例临床体会

Experience of after laparoscopic radical nephrectomy 50 cases

目的评价经后腹腔镜肾癌根治术的手术方法及治疗效果。方法回顾性分析50例后腹腔镜肾癌根治术患者临床资料。结果 50例手术均获成功,无中转开放手术者。手术时间80～260min,出血量40～800ml;术后住院时间4～12d;术中及术后无明显并发症。术后病检报告:肾透明细胞癌35例,乳头状细胞癌5例,嫌色细胞癌4例,集合管癌3例,未分化癌3例。随访6～30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具有疗效确切、创伤小、出血少、术后恢复快等优点。

Objective To evaluate the effect of laparoscopic radical nephrectomy and surgical treatment.Methods A retrospective analysis of 50 cases of laparoscopic radical nephrectomy of patients clinical data.Results Totally 50 cases were successful without conversion to open surgery.Operative time 80~260min,bleeding 40~800ml;Postoperative hospital stay was 4~12d;No significant intraoperative and postoperative complications.Postoperative pathologic examination report： renal cell carcinoma in 35 cases,papillary carcinoma,5 cases of chromophobe cell carcinoma in 4 cases,collecting duct carcinoma in 3 cases,undifferentiated carcinoma in 3 cases.6~30months follow-up,no tumor recurrence and metastasis puncture channel.Conclusions Laparoscopic radical nephrectomy with curative effect,trauma,less bleeding,rapid postoperative recovery and so on.