腰部切口联合经尿道电切肾、输尿管全切术

目的探讨经尿道输尿管口电切在肾、输尿管全切术中的价值. 方法 2002年1月～2003年9月,我院采用腰部切口联合经尿道电切肾、输尿管全切术治疗28例肾盂、输尿管上段移行细胞癌.首先经尿道电切患侧输尿管口,然后经腰部切口切除肾及全长输尿管,术后留置导尿管7 d. 结果手术时间70～95 min,平均81 min.无尿漏、严重血尿及伤口感染等并发症.术后住院7～9 d,平均7.4 d.28例随访8～15个月,平均12个月,无肿瘤复发. 结论腰部切口联合经尿道电切肾、输尿管全切术创伤小、恢复快、安全.

Transurethral electrocision in combination with lumbar incision in total nephroureterectomy

Objective To investigate the value of transurethral electrocision of the ureteric orifice in total nephroureterectomy. Methods Transurethral electrocision in combination with lumbar incision was employed in total nephroureterectomy for treating 28 cases of transitional cell carcinoma of the renal pelvis or the upper ureter from January 2002 to September 2003 in this hospital. Transurethral electrocision of the ureteric orifice on the diseased side was performed, and then the kidney and the whole ureter were excised through a lumbar incision. A catheter was placed for 7 days postoperatively. Results The operation time was 70~95 min (mean, 81 min). No urinary leakage, severe hematuria or wound infection occurred. The length of postoperative hospitalization was 7~9 days (mean, 7.4 days). Follow-up for 8~15 months (mean, 12 months) in 28 cases found no recurrence. Conclusions Total nephroureterectomy through transurethral electrocision in combination with lumbar incision is proved to be minimally invasive and safe, with a quick recovery.