后腹腔镜联合经尿道电切镜治疗肾盂输尿管肿瘤疗效分析

目的探讨后腹腔镜联合经尿道电切镜治疗肾盂输尿管肿瘤的疗效。方法48例肾盂输尿管肿瘤患者,男性29例,女性19例。年龄32～72岁,平均61.4岁;肾盂肿瘤31例,输尿管肿瘤17例。Ta期5例,T1期16例,T2期19例,T3期6例,T4期2例。48例均采用后腹腔镜联合经尿道电切镜作肾、输尿管全长加膀胱袖状切除。结果48例手术均获成功,平均手术时间134min;出血80ml,住院8.5d。随访平均32个月,发生膀胱癌3例,肺或骨转移4例,局部复发2例。复发率为18.75%。结论腹腔镜联合经尿道电切镜做肾、输尿管全段及膀胱袖状切除治疗上尿路上皮细胞癌安全有效,创伤小,康复快。

Retroperitoneal laparoscopic total nephroureterectomy with resectoscopic excilsion for renal pelvis and ureter tumor

Objective To evaluate the efficacy on retroperitoneal laparoscopic total nephroureterectomy with resectoscopic excilsion of renal pelvis and ureter tumor. Methods In 48 cases, 19 female and 29 male,age was ranged from 32 to 47 years old (means 61.4 years old ); 31 cases of them were renal pelvis tumor and 17 cases were ureter tumor; 5 cases in Ta,16 cases in T1, 19 cases in T2, 6 cases in T3, 2 cases in T4. All the 48 cases underwent retroperitoneal laparoscopic total nephroureterctomy with resectoscopic ex...