经腹腹腔镜技术治疗上尿路尿路上皮癌52例报告

贾卓敏; 艾星; 孙凤岭; 高峰; 臧桐; 郭岩杰; 郑清友; 关亚伟

经腹腹腔镜技术治疗上尿路尿路上皮癌52例报告

- 北京军区总医院泌尿外科(北京, 100700)

详细信息

通讯作者: 艾星,E-mail:aixing007@yahoo.com.cn

中图分类号: R572

收稿日期: 2012-07-22

Experience with 52 transperitoneal laparoscopic operation for treatment of upper tract urothelial carcinoma

- Department of Urology, Military General Hospital of Beijing PLA, Beijing, 100700, China

More Information

Corresponding author: AI Xing, E-mail: aixing007@yahoo.com.cn

Received Date: 22 July 2012

摘要

摘要: 目的：探讨经腹腹腔镜技术行肾、输尿管全长切除在肾盂输尿管癌根治术中的应用价值。方法：52例肾盂癌、输尿管癌患者应用经腹腹腔镜技术行肾、输尿管全长切除术。手术采用健侧卧位70°，采用腹部3孔或4孔法先行根治性切除肾脏，更换器械操作通道，向下完全分离全长输尿管及输尿管膀胱壁段，全长切除输尿管后缝合膀胱切口。结果：手术均获成功，无中转开放病例，手术时间90~165 min，平均（113.4±18.2） min，术中出血量30~200 ml，平均（69.2±27.3） ml，无尿漏及其他并发症发生，术后1周拔出尿管。结论：经腹腹腔镜肾、输尿管全长切除术具有视野好、空间大，出血少，术中无需转换体位及再行切口，创伤小，是治疗肾盂癌、输尿管癌的较好选择，具有推广应用价值。
- 经腹腔途径 /
- 腹腔镜 /
- 肾盂输尿管癌 /
- 肾输尿管全长切除术
Abstract: Objective: The purpose of this study is to explore the operation method and application value through transperitoneal laparoscopic nephroureterectomy for treatment of upper tract urothelial carcinoma.Method: There are 52 patients with upper tract urothelium carcinoma who underwent transperitoneal laparoscopic nephroureterectomy. Operation using the health lateral decubitus 70 °, After we were performed radical resection of kidney through 3 or 4 channel of the abdomen, changed equipment operation channel and dissected ureter circumferentially down to ureterovesical junction, operated bladder cuff excision and sew up the bladder wall. Result: The operations were all successful in 52 cases, mean operating time was 90-165(113.4±18.2) min. Mean blood loss was30-200 (69.2±27.3)ml.There are no leakage of urine and other complications, removed ureter after a week.Conclusion: The transperitoneal laparoscopic nephroureterectomy approach has the advantages of good exposure field, less blood loss and minimally invasive, We needn't to convert position and re-incision within operation. It is better choice for treatment of upper tract urothelial carcinoma and worthy to spread and application.
- transperitoneal approach /
- laparoscopic /
- upper tract urothelial carcinoma /
- nephroureterectomy

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参考文献(6)

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