单纯经腹腹腔镜治疗肾盂或输尿管癌.docVIP

单纯经腹腹腔镜治疗肾盂或输尿管癌 　　[摘要] 目的 探讨单纯经腹腹腔镜治疗肾盂或输尿管癌的手术方法及其临床效果。方法 对该院2008年2月―2014年2月收治的30例肾盂或输尿管癌（肾盂癌24例，输尿管上段癌6例）患者均采用单纯经腹腹腔镜下肾脏根治性切除及输尿管全长切除术，包括输尿管壁段袖套状切除。结果 手术全部获得成功，没有严重并发症，手术效果良好。手术时间125～205 min，平均160 min；失血量30～200 mL，平均100 mL；住院时间6～10 d，平均8 d；术后随访3～33个月，无肿瘤复发及转移。 结论 单纯经腹腹腔镜治疗肾盂或输尿管癌具有创伤小，出血少，解剖清晰，病人恢复快的特点，为肾盂癌或输尿管癌提供了另外一种较为安全可靠的手术方式。 　　[关键词] 腹腔镜；肾盂癌根治术；输尿管癌根治术；肾输尿管切除术 　　[中图分类号] R737.1 [文献标识码] A [文章编号] 1674-0742（2015）02（b）-0003-03 　　Simple Transabdominal Laparoscopic Treatment of Renal Pelvis or Ureter Cancer 　　CAI Heng GUO Jianjun LIANG Rongxing YUAN Pengfei 　　Department of Urology， Sichuan Provincial Corps Hospital of Armed Police， Leshan， Sichuan Province， 614000 China 　　[Abstract] Objective To explore the operation method of simple transabdominal laparoscopic treatment of renal pelvis or ureter cancer and its clinical effect. Methods Thirty cases with renal pelvis or ureter cancer（24 cases with renal pelvis cancer， 6 cases with upper ureter cancer） admitted to the hospital from Becember February 2008 to December 2014 underwent simple transabdominal laparoscopic radical resection of kidney and complete ureterectomy， including segment of ureter cuff resection. Results All the operations were successful， no serious complications occurred， and the operation effect was good. The operation time was 125～205 min， averaging 160min； blood loss was 30～200 mL， averaging 100 mL； the hospitalization time was 6～10 days， averaging 8 days. And the postoperative follow-up of 3～33 months showed that no tumor recurrence and metastasis occurred. Conclusion Simple transabdominal laparoscopic treatment is a safe and reliable operation mode for renal pelvis or ureteral cancer with the advantages of small trauma， little bleeding， clear anatomy and quick recovery. 　　[Key words] Laparoscope； Radical resection of carcinoma of renal pelvis； Radical resection of ureteral carcinoma； Nephrou reterectomy 　　肾盂或输尿管癌是泌尿系统常见的恶性肿瘤，目前国内常采用后腹腔镜联合经尿道电切镜手术的术式。而该院2008年2月―2014年2月实施单纯经腹腹腔镜治疗肾盂或