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零缺血小切口肿瘤剜除术在T1b期肾癌中的手术技巧和应用体会 被引量:3

Zero ischemia mini-flank incision for simple enucleation for T1b renal cell carcinoma
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摘要 目的探讨零缺血小切口肿瘤剜除术治疗T1b期肾癌的手术技巧及临床应用效果。方法回顾性分析46例分别采用小切口方式(分为阻断肾蒂与不阻断肾蒂)、传统开放(分为阻断肾蒂与不阻断肾蒂)和腹腔镜方式(均阻断肾蒂)治疗T1b期肾癌的临床效果。结果小切口组在术中出血量、手术时间、术后恢复方面均较其他两种术式有显著优势(P〈0.01);小切口组内阻断肾蒂与未阻断肾蒂相比,术前、术后6个月肾小球滤过率(GFR)变化量分别为(5.1±1.7)mL/min和(1.1±0.8)mL/min,差异有统计学意义(P=0.008)。术后随访24~108个月,3组肿瘤局部复发差异无统计学意义(χ^2=0.46,P=1.0)。结论在T1b期肾癌的治疗中,零缺血小切口肿瘤剜除术在有效的切除肾脏肿瘤的基础上,能够最大限度地保护肾功能,减少手术创伤。 Objective To evaluate the feasibility and clinical efficacy of zero ischemia mini-flank for simple enucleation for T1b renal cell carcinoma.Methods The clinical data of 46 cases of cT1b renal masses treated with mini-flank(n=17),traditional operation(n=18)and laparoscopic surgery(n=11)were retrospectively reviewed.Results The mini-flank approach had more advantages than the other two approaches in the average operation time,intraoperative blood loss,and recovery of bowel function(P〈0.01).Within the mini-flank group,there was significant difference between those with hilar clamping[GFR=(5.1±1.7)mL/min]and without hilar clamping[GFR=(1.1±0.8)mL/min](P=0.008).During the follow-up of 8 to 60 months,there was no difference in the recurrence rate among the three groups(χ^2=0.46,P=1.0).ConclusionZero ischemia mini-flank for simple enucleation for T1b renal cell carcinoma can remove the specimen with a small incision and protect the function of kidney.
出处 《现代泌尿外科杂志》 CAS 2016年第5期372-375,共4页 Journal of Modern Urology
关键词 保留肾单位手术 零缺血 小切口 肾癌 simple enucleation zero ischemia mini-incision renal cell carcinoma
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  • 1魏澎涛,韩兴涛,张寒,霍庆祥.腹腔镜下非阻断肾蒂的低危肾癌保留肾单位手术临床分析[J].中国内镜杂志,2014,20(10):1086-1089. 被引量:8
  • 2CAMPBELL S C, NOVICK A C, BELLDEGRUN A, et al.Guideline for management of the clinical T1 renal mass[J].J Urol,2009,182(4):1271-1279.
  • 3JONIAU S, VANDER E K, SRIRANGAM S J, et al.Outcome of nephron-sparing surgery for T1b renal cell carcinoma [J].BJU Int,2009,103(10):1344-1348.
  • 4HUNG A J, CAI J, SIMMONS M N, et al."Trifecta" in partial nephrectomy[J].J Urol,2013,189(1):36-42.
  • 5PORPIGLIA F, RENARD J, BILLIA M, et al.Is renal warm ischemia over 30 minutes during laparoscopic partial nephrectomy possible? One-year results of a prospective study [J].Eur Urol,2007,52(4):1170-1178.
  • 6WSZOLEK MF, KENNEY PA, LEE Y, et al.Comparison of hilar clamping and non-hilar clamping partial nephrectomy for tumours involving a solitary kidney [J].BJU Int,2010,107:1886.
  • 7MINERVINI A, CARINI M, UZZO R G, et al.Standardized reporting of resection technique during nephron-sparing surgery: the surface-intermediate-base margin score [J].Eur Urol,2014,66(5):803-805.
  • 8MINERVINI A, FICARRA V, ROCCO F, et al.Simple enucleation is equivalent to traditional partial nephrectomy for renal cell carcinoma: results of a nonrandomized, retrospective, comparative study [J].J Urol,2011,185(5):1604-1610.
  • 9黄翼然,张进,陈勇辉,孔文,丁一宗,薛蔚,刘东明,周立新.“球冠状”肾部分切除术治疗早期肾癌的临床研究[J].中华泌尿外科杂志,2015,36(3):166-171. 被引量:25
  • 10Mukkamala A, Allam C L, Ellison J S, et al.Tumor enucleation vs sharp excision in minimally invasive partial nephrectomy: technical benefit without impact on functional or oncologic outcomes[J].Urology,2014,83(6):1294-1299.

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