后腹腔镜下保留肾单位手术治疗T1期肾癌的临床体会（附37例报告）.pdfVIP

现代肿瘤医学 2014年 1O月 第 22卷第 10期 MODERNONCOL0GY，Oct．2014，VOk22，NO．10 ·2405· 后腹腔镜下保留肾单位手术治疗 T 期肾癌的临床体会 (附37例报告) 屈卫星，李 晶，程永毅，徐永刚 RetroperitoneallaparoscopicpartialnephrectomyforT1renalcellcarcinoma(repoMof37 cases) QuWeixing，LiJing，ChengYongyi，XuYonggang DepartmentofUrology，ShaanxiProvincialPeoplesHospital，ShaanxiXian710068，China． A【bstract】 Objective：Toevaluatetheclinicalexperienceofretroperitoneallaparoscopicpartialnephrectomy (RLPN)inthetreatmentofT1renalcel1carcinoma．Methods：RLPNWaSperformedin37caseswithT】renalcellcar— cinoma．Operationtime，postoperativehospitalstaytime，thewayandtimeofblocking，bloodlose，postoperativecompli— cationsandeffectwereobserved．Results：RLPN wasperfomr edinthe37casessuccessfully．Themeanoperationtime was97min(62—185min)．Themeanrenalarterybloodflowocclusiontimewas23．8(0—47)min．Themeanblood losewas103．3(45—220)m1．Therewasnointraoperativesuigicalcomplications．Intraoperativepathologicalmargins werenegative．Therewerenocomplicationssuchasleakageofurine，secondary bleeding，renal insufficiencywasoe- curred．5daysafteroperation，1patienthaduppergastrointestinalbleeding．Themeanhospitalstaywas9d．During24 (3—48)monthsoffollowingup，therewasnorecurrenceandmetastasis，andnocasewasobservedtohavefunctional lossoftheremainingkidneyonintravenousurography．Conclusion：RLPN issafe，effective，mini—invasive，quicker recovery，meanwhile，renalfunctionismaximallyreserved，canbeusedasthepreferredmodeofoperationtreatmentof stageTlrenal cellcarcinoma． 【Keywords】renalcarcinoma；retroperitoneoscopic；nephron—sparingsurgery Modem Oncology2014，22(10)：2405—2407 【摘要】 目的：探讨后腹腔镜保留肾单位手术(retroperitoneallaparoscopiepartialnephrectomy，RLPN)治疗T1 期肾癌的手术方法及临床效果。方法：回顾性分析37例行 RLPN的T期肾癌患者的临床资料 ，观察手术时 间、术后住院时间、阻断方式及时问、术中出血和术后并发症及术后效果。结果：37例患者手术均顺利完成。 手术时间62—185min，平