手助腹腔镜根治性肾切除19例报告

Hand-assisted laparoscopic radical nephrectomy (Report of 19 cases)

目的 :探讨手助腹腔镜根治性肾切除术的临床应用价值。方法 :采用手助腹腔镜根治性肾切除术治疗肾肿瘤 19例。结果 :19例手助腹腔镜手术均获成功。手术时间 75～ 30 0min ,平均 16 5 .8min ;术中出血 15～2 5 0ml,平均 97.4ml;病理结果均为肾细胞癌 (透明细胞癌 18例 ,嫌色细胞癌 1例 ) ;术后住院时间 6～ 2 3d。结论 :手助腹腔镜根治性肾切除术治疗肾肿瘤是个可选择的新的手术方式 ,与开放手术相比 ,具有损伤小、出血少。

Objective:To evaluate the role of hand-assisted laparoscopic radical nephrectomy.Method:Hand-assisted laparoscopic radical nephrectomy was performed on 19 patients with renal tumors.Result:Hand-assisted laparoscopic radical nephrectomy was performed successfully on 19 patients with renal tumors. The mean surgical time was 165.8 min (range 75 min^300 min), and the mean estimated blood loss was 97.4 ml (range 15 ml^250 ml). The postoperative hospital stay was 6~23 days. The final pathologic examination revealed renal cell carcinoma in 19 (clear cell carcinoma in 18, chromophobe carcinoma in 1).Conclusion:The results showed that hand-assisted laparoscopic radical nephrectomy is an efficacious, minimally invasive alternative surgical technique for renal tumors, which provides less blood loss, faster recovery compared with open surgery.