后腹腔镜肾癌根治性切除术32例临床体会

目的探讨后腹腔镜肾癌根治性切除术的手术技巧及疗效。方法回顾分析2010-09—2015-10间行后腹腔镜肾癌根治性切除术的32例患者的临床资料。结果患者均成功完成手术,手术时间75~190 min,平均105 min,出血量30~400 m L,平均75 m L。术后病理均是肾细胞癌,术后随访3~36个月,未见肿瘤复发转移。结论后腹腔镜肾癌根治性切除术是治疗肾癌的一种安全有效微创的手术方法。

Retroperitoneal Laparoscopic Radical Nephrectomy:An Experience of 32 Cases

Objective To investigate the surgical techniques and clinical effect of retroperitoneal laparoscopic radical nephrectomy of renal cell carcinoma. Methods The clinical data of 32 cases(23 males and 9 females)treated by retroperitoneal laparoscopic radical nephrec-tomy from September 2010 to October 2015 were analyzed retrospectively. Results All patients underwent operations successfully. The operation time ranged from 75 to 190 minutes(mean 105 minutes),the blood loss from 30 to 400ml(mean 85m1). The patients were followed up for 3~36 months,which revealed no relapse or metastasis. Conclusion Retroperitoneal laparoscopic radical nephrectomy is a safe,effective and minimal invasive surgical option for the treatment of renal cell carcinoma.