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后腹腔镜肾癌根治术67例报告
引用本文:周文泉,张征宇,葛京平,周水根,魏武,马宏青,程文,薛松,董杰,何昊玮,高建平.后腹腔镜肾癌根治术67例报告[J].医学研究生学报,2008,21(9).
作者姓名:周文泉  张征宇  葛京平  周水根  魏武  马宏青  程文  薛松  董杰  何昊玮  高建平
作者单位:南京军区南京总医院泌尿外科,江苏南京,210002
基金项目:解放军医药卫生科研项目
摘    要:目的:探讨后腹腔镜肾癌根治术的手术经验和临床效果. 方法:2006年1月至2007年12月,后腹腔镜肾癌根治术67例.男44例,女23例.年龄23-80岁,平均52岁.肿瘤位于右侧35例,左侧32例;位于肾上极15例,中极29例,下极23例.肿瘤直径1.5~8.0 cm,平均4.64 cm.术前肿瘤分期:T1N0M0 64例,T2N0M0 3例.结果:手术时间为55~253 min,平均110 min.术中出血10~500ml,平均98ml,前10例平均出血152ml,后10例平均出血量仅58ml.术后住院7~12d,平均8d.术后肠功能恢复时间1~2 d.术后随访2~26个月,平均12.1个月.无局部复发或远处转移,无切口或操作孔肿瘤种植. 结论:后腹腔镜肾癌根治术具有微创、出血少、术后恢复快等优点,是一种安全、可靠的手术方法.

关 键 词:肾癌  后腹腔镜术  肾根治性切除术

Clinical results of 67 cases of retroperitoneoscopic radical nephrectomy
ZHOU Wen-quan,ZHANG Zheng-yu,GE Jing-ping,ZHOU Shui-gen,WEI Wu,MA Hong-qing,CHENG Wen,XUE Song,DONG Jie,HE Hao-wei,GAO Jian-ping.Clinical results of 67 cases of retroperitoneoscopic radical nephrectomy[J].Bulletin of Medical Postgraduate,2008,21(9).
Authors:ZHOU Wen-quan  ZHANG Zheng-yu  GE Jing-ping  ZHOU Shui-gen  WEI Wu  MA Hong-qing  CHENG Wen  XUE Song  DONG Jie  HE Hao-wei  GAO Jian-ping
Institution:ZHOU Wen-quan,ZHANG Zheng-yu,GE Jing-ping,ZHOU Shui-gen,WEI Wu,MA Hong-qing,CHENG Wen,XUE Song,DONG Jie,HE Hao-wei,GAO Jian-ping(Department of Urology,Nanjing General Hospital of Nanjing Military Comm,,PLA,Nanjing 210002,Jiangsu,China)
Abstract:Objective: To investigate the surgical techniques and clinical effect of retroperitoneoscopic radical nephrectomy.Methods: The clinical data of 67 patients(44 males and 23 females) treated by retroperitoneoscopic radical nephrectomy from January 2006 to December 2007 were analyzed retrospectively.Their average age was 52 years,ranging from 23 to 80.Thirty-five of the tumors were located in the right and 32 in the left kidney;15 in the upper,29 in the middle and 23 in the lower pole.The tumors averaged 4.64 ...
Keywords:Renal cell carcinoma  Retroperitoneoscopy  Radical nephrectomy  
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