摘要
目的 :评价手助腹腔镜根治性肾输尿管全切术治疗上尿路移行细胞癌的安全性和有效性。方法 :对4例上尿路移行细胞癌患者在行手助腹腔镜根治性肾输尿管全切术后 ,原切口向下延长 2cm ,行常规开放性膀胱袖套状切除术 ;对另 1例行手助腹腔镜根治性肾输尿管全切术后 ,原切口向上下各延长 2～ 3cm ,再行开放根治性全膀胱切除术并盆腔淋巴结清扫术并左侧输尿管皮肤造口术。结果 :5例均手术成功 ,前 4例手术时间 180～2 4 0min ,术中出血 5 0～ 180ml;后 1例手术时间 5 4 0min ,术中出血 1 0 0 0ml。术后 8～ 2 8天出院 ,均无严重并发症发生。结论 :采用手助腹腔镜根治性肾输尿管全切术治疗上尿路移行细胞癌是安全有效的 ,具有痛苦小、并发症少、术后恢复快等优点。
Objective:To investigate the clinical results of hand-assisted laparoscopic radical nephroureterectomy and evaluate its effectiveness and safety for upper tract transitional cell carcinoma.Methods:4 cases were performed hand-assisted laparoscopic radical nephroureterectomy and open excision of bladder cuff. 1 case underwent hand-assisted laparoscopic radical nephroureterectomy and open radical cystectomy with pelvic lyphadenectomy and left ureterostomy.Results:Among 5 cases, 4 underwent hand-assisted laparoscopic radical nephroureterectomy and open excision of bladder cuff, the operative time ranged from 180～240 min. Blood loss was about 50～180 ml. 1 underwent hand-assisted laparoscopic radical nephroureterectomy and open radical cystectomy with pelvic lyphadenectomy and left ureterostomy, the operative time was 540 min. Blood loss were about 1 000 ml. The patients discharged 8～28 days following surgery. There was no severe complication.Conclusions:Hand-assisted laparoscopic radical nephroureterectomy is an effective and safe minimally invasive surgery for the upper tract transitional cell carcinoma with less pain, morbidity and rapid recovery.
出处
《临床泌尿外科杂志》
2004年第9期536-538,共3页
Journal of Clinical Urology
关键词
肾肿瘤
输尿管肿瘤
癌
移行细胞
腹腔镜术
肾输尿管切除术
根治性
Kidey neoplasms
Ureteral neoplasms
Transitional cell carcinoma
Laparoscopy
Radical nephroureterectomy
