腹腔镜保留肾单位手术治疗小肾癌18例报告 |
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引用本文: | 闫会秋,井汉国,王腾春,袁守娴.腹腔镜保留肾单位手术治疗小肾癌18例报告[J].国际泌尿系统杂志,2010,30(1):19-21. |
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作者姓名: | 闫会秋 井汉国 王腾春 袁守娴 |
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作者单位: | 临清泰山医学院附属聊城市第二人民医院泌尿外科,山东,262500 |
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摘 要: | 目的探讨腹腔镜保留肾单位手术治疗小肾癌的方法和疗效。方法选择小肾癌患者18例,肿瘤直径1.5~3.0cm,经后腹腔途径腹腔镜保留肾单位肿瘤切除11例,经腹腔途径手术7例。术中距瘤体0.5~1cm用超声刀切除肿瘤,肿瘤床多处活检送快速病理。结果幅例手术均获成功,无中转开放。手术时间85—140rain,平均110min;术中出血量50~600ml,平均145ml;术后住院时间8~13天,平均9.6天。术后随访8~30个月,未见肿瘤局部复发,未见转移,切口未见种植。结论腹腔镜保留肾单位手术治疗小肾癌,创伤小、临床效果肯定,可作为小肾癌首选治疗方法。
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关 键 词: | 肾肿瘤 外科手术 腹腔镜 |
Laparoscopic nephron sparing surgery for small renal cell carcinoma(Report of 18 cases) |
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Abstract: | Objectives To investigate the method and therapeutic effect of laparoscopic nephron sparing surgery for small renal cell carcinoma.Methods 18 patients with small renal cell carcinoma,the tumor diameter was 1.5~3.Ocm,by Retroperitoneal laparnscopie nephron sparing surgery is 11 cases,and by lapasoseupic is 7cnseo.Around tumor edge 0.5-1cm,using ultrasound knife to reooct the tuinor,and the tumor bed was sent to quickly frozen biopsy.Results All the operations were successfully accomplished.none was tamed to open.The operation time wsa 85~140 min,mean90;The intraoperative blood loss was 50-600 ml;mean 145 ml,the hospital stay was 8~13d.mesn 9.6 d.No patient has had local and port sit recurrence、metastasis and implantation was found during a followup of 8~30 months.Conclusions laparnseopic nephron sparing surgery for small renal cell carcinoma can be afirst-electing method with advantages of mini-invasion and reliable effect. |
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Keywords: | Kidney Neoplasms Surgical Procedures Laparnseopic |
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