经后腹腔途径腹腔镜术治疗T<sub>2</sub>和T<sub>3</sub>期肾癌30例报告

张坚; 陆志平; 胡强; 徐卓群; 王志荣

经后腹腔途径腹腔镜术治疗T₂和T₃期肾癌30例报告

- 南京医科大学附属无锡市人民医院泌尿外科(江苏无锡, 214002)

详细信息

通讯作者: 张坚,E-mail:zhangj_cn@sina.com

中图分类号: R737.11

收稿日期: 2011-08-08

Laparoscopic radical nephrectomy retroperitoneally for T₂ and T₃ renal-cell carcinoma: Report of 30 cases

- Department of Urology, the Wuxi People's Hospital of Nanjing Medical University, Wuxi, 214002, China

More Information

Corresponding author: ZHANG Jian, E-mail: zhangj_cn@sina.com

Received Date: 08 August 2011

摘要

摘要: 目的：探讨经后腹腔途径腹腔镜治疗T₂和T₃期肾癌的诊疗经验。方法：对我院经后腹腔途径腹腔镜切除30例T₂和T₃期肾癌的临床资料进行回顾性分析。结果：平均手术时间（215.0±80.6） min。术中平均出血量（111.0±22.5） ml。取出标本所作切口长度平均（6.87±3.63） cm。术后恢复胃肠通气时间（2.80±0.55） d，术后住院时间（9.80±2.27） d。手术中无中转开放手术。围手术期并发症包括术后延迟性出血1例，通道伤口感染1例和肺部感染2例。术后随访1年总存活率96.4%。术后随访中未见肿瘤切口和穿刺通道转移。结论：经后腹腔途径腹腔镜切除T₂和T₃期肾癌在技术上有相当的挑战性，但对于经验丰富的泌尿科医师来说完全可以胜任。
- 肾癌 /
- 腹腔镜肾癌根治术 /
- 大体积
Abstract: Objective: To report our operative experience for the laparoscopic radical nephrectomy retroperitoneally of T₂ and T₃ Renal-Cell carcinoma.Method: Thirty laparoscopic radical nephrectomies performed retroperitoneally at our institution were reviewed retrospectively.Result: Mean operative time was(215.0±80.6)min and mean blood loss was(111.0±22.5)ml.Mean incision length of specimen was(6.87±3.63)cm.Mean fasting time was(2.80±0.55)d and mean postoperative hospital stay was (9.80±2.27) d.No case required conversion to open radical nephrectomy.Perioperative complications included 1 case of delayed bleeding,1 port site infection and 2 case of pneumonia.The 1 year survival was 96.4%.There were no incision or port site recurrences.Conclusion: Laparoscopic radical nephrectomy retroperitoneally for T₂ and T₃ Renal-Cell Carcinoma is a technically challenging operation.However,it is a reasonable therapeutic option for a experienced urologist.
- renal cell carcinoma /
- laparoscopic radical nephrectomy /
- large

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