| 后腹腔镜联合下腹小切口行肾盂癌根治术 |
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| 引用本文： | 李沛,李炯明,刘建和,陈戬,姜永明,张劲松,闫永吉,王光,张海燕,郭海翔,王岭.后腹腔镜联合下腹小切口行肾盂癌根治术[J].中华腔镜泌尿外科杂志（电子版）,2011,5(2):14-16. |
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| 作者姓名： | 李沛 李炯明 刘建和 陈戬 姜永明 张劲松 闫永吉 王光 张海燕 郭海翔 王岭 |
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| 作者单位： | 昆明医学院第二附属医院微创泌尿外科,昆明,650101 |
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| 摘 要： | 目的探讨后腹腔镜联合下腹部小切口在肾盂癌根治术中的应用。方法 2005年10月至2010年3月应用后腹腔联合下腹部小切口的方法对19例T1、T2肾盂癌进行根治性切除。手术采用腰部3孔或4孔法切除肾脏并完成输尿管的全段游离,由下腹部5～6cm小切口取出肾脏,直视下袖状切除输尿管壁间段,缝合膀胱切口。结果手术均获成功,无中转开放病例,手术时间110～210min,平均145min,术中平均出血80ml,无尿瘘及其他并发症发生,术后1周拔出尿管。结论后腹腔镜联合下腹小切口进行的肾盂癌根治术,具有出血少、无尿瘘发生、并发症少,手术易掌握、学习曲线短等优点,它是微创方法治疗肾盂癌的较好选择,具有推广应用价值。
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| 关 键 词： | 后腹腔镜 肾输尿管全切术 肾盂癌 |
Retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy: Clinical report |
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| Authors: | LI Pei LI Jiong-Ming LIU Jian-He CHEN Jian JIANG Yong-Ming ZHANG Jing-Song YAN Yong-Ji WANG Guang ZHANG Hai-Yan GUO Hai-Xiang WANG Ling |
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| Institution: | LI Pei,LI Jiong-Ming,LIU Jian-He,CHEN Jian,JIANG Yong-Ming,ZHANG Jing-Song,YAN Yong-Ji,WANG Guang,ZHANG Hai-Yan GUO Hai-Xiang,WANG Ling.Department of Minimally Invasive Urology,The Second Affiliated Hospital of Kunming Medical College,Kunming 650101,China |
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| Abstract: | Objectives To investigate the retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy.Methods From October 2005 to March 2010,19 patients with renal pelvis carcinoma in T1 and T2 stage,underwent the retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy.Three or four Trocars on waist were adopted in the operation for removal the kidney and ureter completely.A 5-6 cm incision to take out the specimen,remove the ureter distal cuf... |
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| Keywords: | Retroperitoneal laparoscopy Nephroureterectomy Renal pelvis carcinoma |
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