后腹腔镜肾部分切除术治疗局限性肾癌的临床效果.docVIP

后腹腔镜肾部分切除术治疗局限性肾癌的临床效果 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：后腹腔镜肾部分切除术治疗局限性肾癌的临床效果 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：后腹腔镜肾部分切除术治疗局限性肾癌的效果 9 1资料与方法 10 参考文摘引言： 10 原创性声明（模板） 12 文章致谢（模板） 12 正文 后腹腔镜肾部分切除术治疗局限性肾癌的临床效果 文1：后腹腔镜肾部分切除术治疗局限性肾癌的临床效果 【Abstract】 Objective：To discuss the clinical effect of retroperitoneal laparoscopic partial nephrectomy for the treatment of localized renal cell ：44 patients with localized renal cell carcinoma underwent retroperitoneal laparoscopic partial nephrectomy in our hospital from January 2013 to July 2016 were analyzed were on the left side in 27 cases and on the right side in 17 tumor diameter of cm，the average （±） patients underwent complete resection of tumor at the margin of cm after laparoscopic ：All the operatio were completed successfully，without conveion to open surgery and no organ injury time was 60-150 min，average （±）min，the warm ischemic time was 15-38 min，with an average （±）min，and estimated blood loss was 50-200 ml，average （±） urinary leakage in 1 case，1 case of renal hematoma，coervative treatment after resection margin was follow-up time was 1 to 42 months，average （±） months，all patients had no local recurrence and distant ：Retroperitoneal laparoscopic partial nephrectomy is safe and feasible for the treatment of localized renal cell carcinoma，with less trauma and quicker recovery，meanwhile，renal function can be maximally reserved。 【Key words】 Renal cell carcinoma； Retroperitoneal laparoscopy； Partial nephrectomy Fit-author’s address：Affiliated Hospital of Jiangsu Univeity，Zhenjiang 212001，China doi： 肾细胞癌（renal cell carcinoma，RCC）简称为肾癌，起源于肾小管上皮系统，占肾肿瘤80%～90%，其发病率在我国泌尿系统肿瘤中位列第二。肾癌对放疗和化疗均不敏感，治疗方案主要以外科手术为主，目前治疗肾癌的主要手术方式为肾根治性切除术（radical nephrectomy，RN）和肾部分切除术（partial nephrectomy，PN）。随着影像检查技术的进步和人们健康体检意识的提高，局限性肾癌的检出率逐渐增加。Winfield等[1]于1993年报道了首例腹腔镜下肾部分切除术（laparoscopic partial nephrectomy，LPN），历经20余年发展至今，相较于开放手术，此术式具有创伤小、恢复快等优势，其在临床实践中的应用愈加广泛。通过大量临床经验的积累，目前后腹腔镜下肾部分切除术已在国内多个泌尿外科中心熟练开展。本研究通过回顾性分析笔者所在