后腹腔镜下肾癌根治术60例临床观察

[目的]探讨后腹腔镜在肾癌根治术中的应用。[方法]对60例行后腹腔镜下肾癌根治术肾癌患者进行回顾性分析。[结果]60例肾癌患者，59例手术成功，1例中转开放手术。手术平均时间173．5min（95～300min）；失血量50～1500ml，中位失血量175ml；术后住院4～12d，平均7．2d。术后随访7～32个月，平均17个月。60例患者全部生存，无一例肿瘤局部复发或切口种植转移。[结论]后腹腔镜下肾癌根治术具有创伤小、恢复快等特点，是肾癌外科治疗的发展方向。

Clinical Observation of Retroperitoneal Laparoscopic Radical Nephrectomy for 60 Cases with Renal Cell Carcinoma

[Purpose ] To investigate the application of retroperitoneal laparoscopic radical nephrectomy to renal cell carcinoma. [Methods] Sixty cases with renal carcinoma underwent retroperi- toneal laparoscopic radical nephrectomy were studied retrospectively. [Results] Of the 60 cases, 59 cases underwent laparoscopic surgery successfully, one case converted to open surgery. The mean operative time was 173.5min（95-300min）, and blood loss was 50-1500ml （median 175ml）. The postoperative hospital stay was 4-12d （mean 7.2d）. The patients were followed up for 7-32 months （mean 17 months）. No local or port site recurrence of renal tumor was found during this period. [Conclusions] Retroperitoneal laparoscopic radical nephrectomy has advantages of minimal invasion and quick recovery, which shows a good application prospect in urinary surgery.