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后腹腔镜下肾癌根治术56例临床分析 被引量:4

Retroperitoneal laparoscopic radical nephrectomy:a report of 56 cases
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摘要 目的评价后腹腔镜下肾癌根治术的安全性及临床疗效。方法回顾性分析行后腹腔镜下肾癌根治术患者56例。术前CT检查临床分期:T1N0M054例;T2N0M02例。结果手术时间平均105(60-270)min,术中出血平均125(40-400)ml,发生手术并发症5例。术后病理诊断示透明细胞癌49例,颗粒细胞癌5例,嫌色细胞癌2例。术后随访12-36个月,除1例失访外,余55例患者均未出现切口种植,无肿瘤转移。结论后腹腔镜下肾癌根治术安全可靠、效果良好。 Objective To evaluate the safety and clinical effectiveness of retroperitoneal laparoscopic radical nephrectomy. Methods From April 2002 to April 2004, 56 patients (30 males and 26 females, 28-76 years old), underwent retroperitoneal laparoscopic radical nephrectomy were analyzed retrospectively. 54 cases were in clinical stage T1 No Mo, 2cases T2 No Mo. Results The operative time was 60-270 min(mean 105 min) with blood loss of 40-400 ml(mean 125 ml). Complications occurred in 5 cases. Pathological examination showed that 49 cases were of renal clear cell carcinoma, 5 granular cell carcinoma, 2 chromophobe carcinoma. During the follow-up of 12- 36months, 55 patients survived and 1 patient lost follow-up. Conclusion Retroperitoneal laparoscopic radical nephrectomy is safe and effective.
出处 《江苏医药》 CAS CSCD 北大核心 2006年第10期921-922,共2页 Jiangsu Medical Journal
关键词 肾癌 后腹腔镜 肾癌根治术 Renal cancers Retroperitoneal laparoscopy, Radical Nephrectomy
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参考文献6

  • 1Clayman RV,Kavoussi LR,Soper N,et al.Laparoscopic nephrectomy:initial case report.J Urol,1991,146:278-282.
  • 2Savage SJ,Gill IS.Laparoscopic radical nephrectomy for renal cell carcinoma in a patient with level Ⅰ renal vein tumor thromobus.Urology,2005,65:675-680.
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