经尿道电切镜在肾盂恶性肿瘤根治术中的应用（附11例报告）

目的探讨经尿道电切镜在肾盂肿瘤根治术中的应用价值。方法根据肿瘤是否有外侵,选择腹部横切口或患侧抬高45°的侧卧兼截石位。常规行肾切除后,从远端输尿管置入F8输尿管导管至膀胱内约1cm,电切环电切输尿管周围膀胱黏膜组织。切口内输尿管断端和输尿管导管固定,经尿道缓慢均匀用力拉出输尿管全长。结果手术均顺利,手术时间65～170min,平均115min。术中出血量70～200ml,平均122ml。术后无感染和退发性出血。11例术后随访6～18个月,平均11个月,均存活,未见环切口有肿瘤种植,未见膀胱内其他占位。结论在肾盂恶性肿瘤根治术中应用经尿道电切镜,出血少,并发症少,是辅助肾盂肿瘤根治术中行之有效的方法。

Transurethral Electro-Resection of Renal Pelvic Tumor: Report of 11 cases

Objective To study the value of transurethral electro-resection for renal pelvic tumor.Methods Transurethral electro-resection was performed on 11 patients after resection of the kidney.A F8 catheter was inserted into the bladder via the distal end of the ureter.The mucosal tissues around the ureter were then cut,and the ureter was fixed to the catheter and removed by pulling out the catheter.Results The operation was completed in all of the cases with a mean operation time of 115 min(65 to 170 min).None of the patients developed infection or hemorrhage after the surgery.11 patients were followed up for 6 to 18 months(mean,11 months),and no one died during the period.No tumor implantation or other intra-bladder masses were found.ConclusionsTransurethral electro-resection is feasible and safe for renal pelvic tumor.