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| 腹腔镜姑息性肾切除15例手术分析 | |
| 引用本文： | 王鹏举,刘冬蕾,李凤月. 腹腔镜姑息性肾切除15例手术分析[J]. 河北医学, 2011, 0(11): 1502-1504 |
| 作者姓名： | 王鹏举 刘冬蕾 李凤月 |
| 作者单位： | 山东省青岛市中心医院,山东 青岛,266040 |
| 摘 要： | 目的：探讨后腹腔镜姑息性肾癌切除术的技术要点和临床效果。方法：2005年至2010年采用后腹腔镜技术行姑息性肾癌切除术15例,术前均行B超I、VU、胸片、CT或MRI检查,证实肾脏实质恶性肿瘤,未发现肾蒂淋巴结转移、远处转移、肾静脉或腔静脉癌栓。临床分期为T4 N0M0,健侧肾功能正常。观察手术时间、术中出血量、术中术后并发症及手术效果。结果：手术均1次成功,手术时间60-180 min,平均90min,术中出血80-240mL,术中术后均未输血,引流管拔除时间24-72h,肠功能恢复时间18-48h,下床活动时间48-72h。所有患者均得到随访,有3位病人3-6月复发,有4位病人1年后复发,余病人正随访中。结论：后腹腔镜姑息性肾癌切除术具有创伤小、恢复快、疗效可靠的特点,可部分替代传统的开放手术,具有良好的临床应用前景。 |
| 关 键 词： | 肾肿瘤 腹腔镜 姑息性肾切除 |
Retroperitoneal Laparoscopic Palliative Resection of Kidney with a Report of 15 Cases |
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| WANG Pengju,LIU Donglei,LI Fengyue. Retroperitoneal Laparoscopic Palliative Resection of Kidney with a Report of 15 Cases[J]. Hebei Medicine, 2011, 0(11): 1502-1504 | |
| Authors: | WANG Pengju LIU Donglei LI Fengyue |
| Affiliation: | WANG Pengju,LIU Donglei,LI Fengyue (The Central Hospital of Qingdao,Shandong Qingdao 266040,China) |
| Abstract: | Objective: To discuss the technical detail of retroperitoneal laparoscopic palliative resection of kidney and evaluate its clinical effect. Method: Totally 15 cases received retroperitoneal laparoscopic palliative resection of kidney between 2005 and 2010.Malignant tumors were confirmed by B-ultrasound,IVU,X-ray and CT or MRI before operation in all the cases.None of renal pedicle lymphatic metastasis,distant metastasis,renal venous or inferior vena cava tumor thombus was found,and renal function of the uni... |
| Keywords: | Renal neoplasm Laparoscopy Palliative resection of the kidney |
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