后腹腔镜下肾癌根治性切除术的临床分析 |
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引用本文: | 张志刚,王祥波,涂传全,薛鹏,柳兴明,杨光天,方毅. 后腹腔镜下肾癌根治性切除术的临床分析[J]. 河南医药信息, 2010, 0(19): 38-40 |
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作者姓名: | 张志刚 王祥波 涂传全 薛鹏 柳兴明 杨光天 方毅 |
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作者单位: | 徐州医学院附属连云港医院泌尿外科,连云港市222000 |
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摘 要: | 目的 探讨后腹腔镜下肾癌根治性切除的疗效。方法对26例肾癌患者行后腹腔镜肾癌根治性切除术,肿瘤大小1~5cm,平均3.2era。术前分期T1N0M010例,T2N0M016例。结果手术时间60~150min,平均105min,出血量50~800ml,平均120ml。中转开腹1例,原因为肾静脉损伤出血。随访6~36个月,26例均无瘤生存。结论后腹腔镜下肾癌根治术切口小,恢复快,效果好,值得临床推广。
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关 键 词: | 肾肿瘤 后腹腔镜 肾切除 |
Clinical Study of Retroperitoneoscopic Radical Nephrectomy |
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Affiliation: | ZHANG Zhigang , WANG Xiangbo, TU Chuanquan,et al( The Affifliated Lianyungang Hospital of Xuzhou Medical College, Lianyungang 222000, China) |
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Abstract: | Objective To evaluate the efficacy of retroperitoneoscopic radical nephrectomy. Methods From October 2003 to May 2010, 26 patients underwent retroperitoneoscopic radical nephrectomy in our department. The tumors sized 1 -5 cm (mean 3.2cm)in diameter. Before the operation, 10 patients were in stage T1N0M0, 16 in stage T2N0M0. Results The operation time was 60 - 150 min(mean 105min), and the blood loss was 50 -800ml(mean 120ml ). 1 patients were converted to open surgery. Because of hemmrrhage caused by the injury of renal artery. The patients were followed up for 6 - 36 months, 26patients survived without tumor. Conclusion Retroperitoneoscopic radical neprectomy is mini - invasive and effective for renal carcinoma. The patients recover quickly after the surgery. The procedure is worth being wildly used. |
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Keywords: | Kidney neoplasms Retroperitoneal laparoscopy Nephrectomy |
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