后腹腔镜根治性肾输尿管切除术21例报告

目的:探讨后腹腔镜根治性肾输尿管切除术的疗效。方法:2003年10月至2006年10月我们对21例肾盂或输尿管移行细胞癌患者行后腹腔镜根治性肾输尿管切除术,其中肾盂癌13例,输尿管癌8例。经尿道输尿管口切除术处理末段输尿管,使用Hem-O-lock结扎锁处理肾动静脉。结果:本组手术时间180-300m in,平均220m in;出血量40-100m l,平均60m l;术中、术后未发生明显并发症。随访2-35个月,2例发生膀胱移行细胞癌。结论:后腹腔镜根治性肾输尿管切除术具有创伤小、术后恢复快等优点,用Hem-O-lock结扎锁处理肾动静脉安全可靠,经济实用。

Retroperitoneoscopic radical nephroureterectomy:a report of 21 cases

Objective:To explore the therapeutic effect of retroperitoneoscopic radical nephroureterectomy.Methods:Between Oct.2003 and Oct.2006,retroperitoneoscopic radical nephroureterectomy was performed in 15 patients,including 13 renal pelvic carcinoma and 8 ureteral carcinoma.Transurethral resection of the ureteral orifice was performed,and Hem-O-lock clips were used to control renal vessels.Results:In this study,operating time was from 180 to 300min(mean 220min),blood loss was from 40 to 100ml(mean 60ml),and no complications occurred.At a follow-up of 2-35 months,2 cases were found suffering from bladder tumor.Conclusions:Retroperitoneoscopic radical nephroureterectomy has the advantage of minimal invasion and rapid recovery,Hem-O-lock clip is a reliable and economical device for renal vascular control.