腹膜后腹腔镜肾部分切除术52例报告

目的：评价腹膜后腹腔镜肾部分切除术的可行性及临床价值。方法：52例肾占位患者,肿瘤直径2.0~4.0cm。经后腹腔途径施术,术后病理为47例肾脏透明细胞癌,3例嫌色性细胞癌,2例乳头状肾癌。结果：51例手术顺利完成,1例中转开放,手术时间40~100min,平均75min,术中出血50~400ml,平均150ml。术后恢复顺利,住院12~18d,平均14d,随访6~24个月无肿瘤复发。结论：腹膜后腹腔镜肾部分切除术患者创伤小,术后康复快,值得临床推广。

Retroperitoneal laparoscopic partial nephrectomy: a report of 52 cases

Objective:To evaluate the feasibility and the clinical value of retroperitoneal laparoscopic partial nephrectomy.Methods:Fifty-two patients with renal tumor were treated with retroperitoneal laparoscopic surgery.The mean tumor size was 2.0-4.0cm in diameter.Considering the postoperative pathology,47 cases were clear-cell carcinoma,3 cases were renal chromophobe cell carcinoma,and two were papillary renal cell carcinoma.Results:Fifty-one operations were successfully accomplished,the other 1 case was converted to open surgery.The operative time was 40-100min(mean was 75min).And the intraoperative blood loss was 50-400ml(mean was 150ml).Convalescence was satisfactory after operation and the hospital stay was 12-18d(mean was 14d).No tumor recurrence was found during a follow-up of 6-24 months.Conclusions:Retroperitoneal laparoscopic partial nephrectomy is worthy to be extended with advantages of mini-invasion and rapid recovery.