摘要
目的 探讨后腹腔镜下根治性肾切除术的手术方法和技巧,评估后腹腔镜技术在根治性肾切除术中的临床价值及应用前景。方法 采用经腹膜后途径行腹腔镜下根治性肾切除术25例,统计其手术时间、术后病理及患者转归情况。结果 25例中有3例因并发症手术野模糊而中转开放手术,22例获得成功。术后25例均获得随访,随访1~2年,未见肿瘤局部复发,穿刺Trocar孔未见有种植转移病例。结论 后腹腔镜下根治性肾切除术是一种安全有效的治疗方法,在考虑肾恶性肿瘤的病例中有广泛的应用价值。
Objective To investigate the methods and technique of retroperitoneal laparoscopic in radical nephrectomy（RLRN）,and evaluate the clinical value and applied foreground of this technique. Methods RLRN was carried out in 25 cases.The time of surgery,the pathology after the surgery and the patient＇s outcome were counted. Results 22 cases with RLRN was successful in the 25 cases.3 cases was converted to open surgery because of conglutination and complications.No serious complications cases were occurred.25 cases were followed-up.No local reoccurred in these patients in 1 to 2 years followed-up.No implantation metastasis were found in Trocar hole. Conclusion Retroperitoneal laparoscopic radical nephrectomy is a safe and efficient surgical procedure,has wide clinical applied prospects to the renal tumor＇s cure.
出处
《中国医药科学》
2015年第12期113-115,共3页
China Medicine And Pharmacy
关键词
后腹腔镜
根治性手术
肾肿瘤
肾切除术
Retroperitoneal laparoscopie
Radical surgery
Kidney neoplasmas
Nephrectomy
