后腹腔镜下肾癌根治性切除术的临床分析

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。

Clinical Study of Retroperitoneoscopic Radical Nephrectomy

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.