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摘要: 目的：探讨孤立肾巨大肿瘤的诊治方法。方法：对2例孤立肾肾肿瘤直径 ≥ 8.0 cm的患者，先行腹腔镜手术游离肾脏血管，再行开放手术将肾肿瘤剜除。结果：2例手术均获成功，1例术后发生肾功能不全，1例完全康复，术后随访12个月，肿瘤均无复发或转移。结论：对于孤立肾巨大肿瘤，术前行肾动脉血管检查、肾肿瘤超选择性栓塞，术中运用腹腔镜游离肾血管、开放手术冷缺血阻断肾动脉，使肿瘤与正常肾组织分界清楚、减少出血、加快手术操作、有助于保护患者肾功能，提高患者生活质量。Abstract: Objective: To discuss the diagnosis and treatment of giant masses in solitary kidney.Method: We used laparoscopic for dividing renal vascular and then performed open tumor enucleation for two giant masses in solitary kidney (tumor diameter ≥ 8.0 cm). Result: Both operations were successful,one presented postoperative renal dysfunction, the other was full recovery, follow-up about 12 months, no recurrence or metastasis of the tumor was seen.Conclusion: For giant masses in solitary kidney,tumor enucleation is feasible. Preoperative angiography of renal artery and highly selective embolization of renal tumors, intraoperative using laparoscopic for dividing renal vascular and then open surgery for cold ischemic, these can make demarcation more clear between tumor and normal tissue,reduce blood loss,and accelerate the operation, which can protect patient's renal function and to improve the quality of life.
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Key words:
- solitary kidney /
- kidney neoplasms /
- nephron sparing surgery /
- perioperative period
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