后腹腔镜下保留肾单位手术治疗早期肾肿瘤临床观察.PDFVIP

2 11 4 24 2 # 127# 王刘中, 魏金星, 张雪培, 王耀锋, 蔡 腾 (, 45 52) : 52, bulldog, . 5~ 1. cm 52 139( 1 ~ 195) m in, 26( 19~ 28) m in, 198( 6 ~ 35 ) mL 2, 3~ 72, , : ; ; : R737. 11 : A : 1673- 5412(2 11) 2- 127- 3 The Clin ical Observation of Retroperitoneal Laparoscopic Nephron Sparing Surgery in theT reatm ent of the Early Stage RenalTum or W ang L iuzhong, W ei Jinx ing, Zhang Xuepe,i W ang Yaofeng, CaiTeng (D epartm ent of Uro logy, the F irstAff iliated H osp ital of Zhengzhou University, Zhengzhou 45 52, China ) A bstrac t: Obj ective To evaluate the efficacy and safety of retroperitoneal laparoscopic nephron sparing surgery in the treatm en t of the early stage renal tum or.M ethod s A ll the 52 patientsunderw en t retroperitoneal laparoscop ic retroperitoneal laparoscopic nephron sparing surgery. The renal artery w as b lockedw ith bulldog clamp and the tumorwas resectedw ith am argin of . 5 to 1. cm of healthy renal parenchyma. Re- sults The operationsw ere successfu lly performed in all the 52 patients. The m ean operative tmi ew as 139 m in( 1 to 195 m in). The warm ischem ia tmi ew as 26 m in ( 19 to 28m in). Them ean estmi ated blood lossw as 198mL ( 6 to 35 mL). Postoperative hem orrhage occurred in 2 cases, were relieved after conservative treatm ent. During a follow-up of 3 to 72 m onths, no recurrence orm etastasisw as found in all the pa- tients. Con clusion Retroperitoneal laparoscopic nephron sparing surgery in the treatment of the early stage renal tum or cou ld be effective and safe, and it should be an effective and feasib le treatm ent regmi en in the selected cas