| 腹腔镜下上尿路解剖与腹膜后腹腔镜肾癌根治术 |
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| 引用本文： | 高新,方友强,周祥福,邱剑光,刘小彭,庞俊. 腹腔镜下上尿路解剖与腹膜后腹腔镜肾癌根治术[J]. 腹腔镜外科杂志, 2009, 14(2) |
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| 作者姓名： | 高新 方友强 周祥福 邱剑光 刘小彭 庞俊 |
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| 作者单位： | 中山大学附属第三医院,广东,广州,510630 |
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| 摘 要： | 目的:分析腹腔镜下上尿路解剖特点与腹膜后腹腔镜肾癌根治术临床效果的关系,并探讨腹膜后腹腔镜肾癌根治术的手术技巧。方法:我院收治63例局限性肾癌患者,其中左侧35例,右侧28例;肿瘤最大径1.5～8.2cm,平均3.6cm;所有患者均根据上尿路解剖特点完成腹膜后腹腔镜肾癌根治术,常规建立腹膜后腔,腹腔镜下在无血管区游离肾脏后内侧,找到输尿管并向上游离肾蒂,Hem-O-lock结扎肾血管并剪断,在肾筋膜前间隙充分游离肾脏。结果:所有手术均获成功,无中转开放手术,术中无明显并发症发生。手术时间35～90min,平均48min;出血20～150ml,平均40ml;术后3～7d出院。62例患者术后随访5～34个月,其中1例出现腹膜后淋巴结转移,余经B超及胸片检查未见局部复发或远处转移。结论:根据腹腔镜下上尿路解剖特点,选择无血管平面入路解剖肾周间隙,并采用相应的手术技巧处理肾蒂行腹膜后腹腔镜肾癌根治术能有效减少术中出血,降低并发症的发生率。
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| 关 键 词： | 肾肿瘤 腹膜后腹腔镜 肾切除术 解剖 |
Laparoscopic upper urinary tract anatomy and retroperitoneal laparoscopic radical nephrectomy |
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| GAO Xin,FANG You-qiang,ZHOU Xiang-fu,et al.. Laparoscopic upper urinary tract anatomy and retroperitoneal laparoscopic radical nephrectomy[J]. Journal of Laparoscopic Surgery, 2009, 14(2) |
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| Authors: | GAO Xin FANG You-qiang ZHOU Xiang-fu et al. |
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| Affiliation: | GAO Xin,FANG You-qiang,ZHOU Xiang-fu,et al.Dept.of Urology,the Third Affiliated Hospital,SUN Yat-sen University,Guangzhou 510630,China |
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| Abstract: | Objective:To analyze the relationship between laparoscopic characteristics of upper urinary tract anatomy and clinical effects of retroperitoneal laparoscopic radical nephrectomy in order to explore surgical skills of retroperitoneal laparoscopic radical nephrectomy.Methods:Sixty-three cases with localized renal carcinoma were enrolled in this study.Among them,tumor of 35 cases were in the left kidney and 28 cases were in the right kidney.The maximum diameter of tumor were 1.5cm to 8.2cm with an average dia... |
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| Keywords: | Renal neoplasms Retroperitoneal laparoscopy Nephrectomy Anatomy |
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