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后腹腔镜下根治性肾切除术21例
引用本文:王军起,陈家存,孙晓青,温儒民,陈仁富,郑骏年,薛松,李望,朱海涛,张成静,刘俊杰.后腹腔镜下根治性肾切除术21例[J].徐州医学院学报,2006,26(6):518-520.
作者姓名:王军起  陈家存  孙晓青  温儒民  陈仁富  郑骏年  薛松  李望  朱海涛  张成静  刘俊杰
作者单位:徐州医学院附属医院泌尿外科,江苏,徐州,221002
摘    要:目的评价后腹腔镜下肾肿瘤根治性切除术的安全性及疗效。方法后腹腔镜下行肾根治性切除术21例,其中肾癌19例,肾盂癌1例,上段输尿管癌1例。对手术过程进行总结,术后疗效进行随访观察。结果21例手术均获成功。术中腹膜破裂共7例,其中采用改良逆行分离肾周脂肪囊与腹膜间隙方法的14例中,仅2例发生腹膜破裂。所有患者术后随访1-16个月,平均7个月,均无瘤生存。结论早期肾癌行后腹腔镜下肾癌根治术安全可靠,手术层次清晰,疗效良好,逆行分离肾周脂肪囊与腹膜间隙可以避免腹膜破裂。

关 键 词:肾肿瘤  腹腔镜  肾切除术
文章编号:1000-2065(2006)06-0518-03
收稿时间:08 21 2006 12:00AM
修稿时间:2006-08-212006-10-30

Retroperitoneoscopic radical nephrectomy
WANG Jun- qi, CHEN Jia- cun, SUN Xiao - qing, et al.Retroperitoneoscopic radical nephrectomy[J].Acta Academiae Medicinae Xuzhou,2006,26(6):518-520.
Authors:WANG Jun- qi  CHEN Jia- cun  SUN Xiao - qing  
Institution:Department of Urology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu 221002, China
Abstract:Objective To evaluate the safety and efficacy of retroperitoneoscopic radical nephrectomy.?Methods Retroperitoneoscopic radical nephrectomy was performed in a total of 21 patients.The masses removed averaged 4.6 cm(ranged 2.5-6.2 cm) in diameter and were of clinical stage T_1N_0M_0.Results Success was achieved in all cases.Adrenalectomy was perfomed on 19 patients.Nephro-ureterectomy was performed in 1 case of renal pelvic carcinoma and 1 ureteral carcinoma.Rupture of peritoneum occurred on table in 7 cases.Follow-up for 1-16 months(mean 7 months) showed all patients survived without cancer.?Conclusion Retroperitoneoscopic radical nephrectomy is safe and effective.A method is recommended to avoid peritoneal rupture.
Keywords:kidney neoplasms  laparescopy  nephrectomy
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