手辅式腹腔镜治疗肾恶性肿瘤(附10例报告)

目的：探讨手辅式腹腔镜技术在肾恶性肿瘤手术中的应用。方法：采用手辅式腹腔镜技术进行肾癌根治术及肾盂癌根治术共10例。其中肾癌6例，肾盂癌4例。8例经腹腔入路，2例经腹膜后入路。结果：手术全部获得成功，没有严重的并发症，手术效果良好。患者随访6个月～3年。未见局部复发和远处转移。结论：手辅式腹腔镜肾癌根治术和肾盂癌根治术不仅保留了腹腔镜技术创伤少、恢复快的优点，还克服了常规腹腔镜手术的许多局限性，糅合了开放手术和腹腔镜技术的优势，提高了手术的安全性、根治性和操作的灵巧性．缩短了手术时间和手术者的培训时间。

The initial experience of hand-asissted laparoscopic surgery in renal malignant tumors (Report of 10 cases)

Objective:To investigate the hand-asissted laparoscopic surgery in renal malignant tumor.Methods:Hand-asissted laparoscopic surgery were performed for 10 patients. In these cases, 8 underwent transperitoneal laparoscopic surgery, 2 underwent retroperitoneal laparoscopic surgery.Results:Success has been achieved in all cases without major complications. There were no local recurrence and metastasis in all cases.Conclusions:Hand-asissted laparoscopic surgery combines the pure laparoscopic technique with tranditional surgery. Hand-asissted laparoscopic radical resection for the renal malignant tumor is a less traumatic , less post operative discomfortable and more safe method.