| 后腹腔镜下肾错构瘤剜除术 |
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| 引用本文： | 陈湘,刘红叶,李勇. 后腹腔镜下肾错构瘤剜除术[J]. 中南大学学报(医学版), 2006, 31(4): 604-606 |
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| 作者姓名： | 陈湘 刘红叶 李勇 |
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| 作者单位： | 中南大学湘雅医院泌尿外科,长沙,410008;中南大学湘雅医院泌尿外科,长沙,410008;中南大学湘雅医院泌尿外科,长沙,410008 |
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| 摘 要： | 目的:探讨后腹腔镜下肾错构瘤剜除术的手术方法及其临床价值。方法:经后腹腔镜途径对25例肾错构瘤患者进行腹腔镜下错构瘤剜除术。患者取侧卧位,后腹腔手术通过3个穿刺孔完成,暴露突出肾外部分瘤体后,沿肿瘤边缘用电钩切开肾包膜,取石钳分块夹出肿瘤组织,术中送快速病检确认为错构瘤后,用止血纱布填塞瘤体窝,“8”字缝合创面并喷洒生物蛋白胶。结果:手术均取得成功。瘤体大小为1.8cm×2.0cm~4.5cm×4.9cm,手术时间为50~90(平均70)min;术中出血30~80(平均55)mL;住院时间为7~9(平均8)d。结论:后腹腔镜下肾错构瘤剜除术是一种安全有效的方法,具有创伤小、出血少、恢复快、住院时间短等优点。
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| 关 键 词： | 后腹腔镜 肾错构瘤 剜除术 |
| 文章编号： | 1672-7347（2006）04-0604-03 |
| 收稿时间： | 2006-03-09 |
| 修稿时间： | 2006-03-09 |
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| CHEN Xiang,LIU Hong-ye,LI Yong.
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| Authors: | CHEN Xiang LIU Hong-ye LI Yong |
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| Affiliation: | Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China. cxiang1007@126.com |
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| Abstract: | OBJECTIVE: To investigate the operative technique and the clinical value of retroperitoneal laparoscopic enucleation of the renal hamartoma. METHODS: Twenty-five patients of renal hamartoma received retroperitoneal laparoscopic enucleation. The patients were placed in lateral decubitus position. All laparoscopic surgical procedures were performed retroperitoneally using 3 port-sites. The tumor was exposed and resected along the edge, and the tumor clipped out with a lithotomy forceps. The renal hamartoma was confirmed through a pathological diagnosis during the operation. The resection surface was sutured with fibrin and absorbable hemostatic gauze. RESULTS: The operations were finished successfully in all patients. The diameter of tumors ranged from 1.8 cm x 2.0 cm to 4.5 cm x 4.9 cm. The operative time was 50 - 90 (mean=70) min. The blood loss was 30 - 80 (mean=55) mL. The hospital stay was 7 - 9 (mean=8) days. CONCLUSION: Retroperitoneal laparoscopic enucleation of the renal hamartoma is safe and effective, whose advantages include minimal invasive, less blood loss, short hospital stay, and rapid convalescence. |
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| Keywords: | retroperitoneal laparoscopic renal hamartoma enucleation |
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