后腹腔镜下肾癌切除术的临床疗效研究

目的:探讨后腹腔镜下肾癌切除术的安全性以及临床疗效.方法:选取2008年10月～2011年5月期间在我科接受后腹腔镜下肾癌切除术的55例患者作为研究对象,上述患者术前临床分期包括T1N0M0 59例、T2N0M0 6例,现回顾分析他们的临床资料.结果:①手术时间127～255min,平均(182±21)min;术中出血量120～540ml,平均(195±35)ml;住院时间7～12d,平均(9.1±1.5)d.②术中4例患者发生手术并发症,包括腔静脉损伤出血2例,胸膜损伤1例,结肠损伤1例.③术后随访2年,所有患者均未发生肿瘤复发、远处转移以及穿刺通道种植转移.结论:后腹腔镜下肾癌切除术具有创伤小、术中出血量少、术后恢复快、手术并发症发生率低、术后远期疗效好等优点.

Study of Therapeutic Efficacy of Retroperitoneal Laparoscopic Radical Nephrectomy

Objective:To investigate the safety and therapeutic efficacy of retroperitoneal laparoscopic radical nephrectomy.Methods:55 patients with renal tumor who received retroperitoneal laparoscopic radical nephrectomy from October 2008 to May 2011 were selected to be object of study,and their clinical stages were 59 cases of T1N0M0and 6 cases of T2N0M0,and their clinical data were retrospectively analysed in this paper.Results:①The operation time was 127～255 min,average(182±21)min;the blood loss in the operation was 120～540 ml,average(195±35)ml;the hospital stay was 7～12d,average(9±2)d.②4 patients had operative complications,including 2 cases of injury and bleeding of vena cave,1 case of pleural injury,1 case of colon injury.③All patients were followed up for 2 years,and they didn’t have tumor recurrence,distant metastasis,planting metastasis of puncture channel.Conclusion:Retroperitoneal laparoscopic radical nephrectomy is of small lesion,little blood loss in the operation,quick postoperative recovery,low incidence rate of operative complications,good long-term postoperative therapeutic efficacy.