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后腹腔镜下根治性肾切除术21例 被引量:4

Retroperitoneoscopic radical nephrectomy
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摘要 目的评价后腹腔镜下肾肿瘤根治性切除术的安全性及疗效。方法后腹腔镜下行肾根治性切除术21例,其中肾癌19例,肾盂癌1例,上段输尿管癌1例。对手术过程进行总结,术后疗效进行随访观察。结果21例手术均获成功。术中腹膜破裂共7例,其中采用改良逆行分离肾周脂肪囊与腹膜间隙方法的14例中,仅2例发生腹膜破裂。所有患者术后随访1-16个月,平均7个月,均无瘤生存。结论早期肾癌行后腹腔镜下肾癌根治术安全可靠,手术层次清晰,疗效良好,逆行分离肾周脂肪囊与腹膜间隙可以避免腹膜破裂。 Objective To evaluate the safety and efficacy of retroperitoneoscopic radical nephrectomy. Methods Retropefitoneoscopic radical nephrectomy was performed in a total of 21 patients. The masses removed averaged 4.6 cm (ranged 2.5 - 6.2 cm) in diameter and were of clinical stage T1 N0 M0. Results Success was achieved in all cases. Adrenalectomy was perfomed on 19 patients. Nephro- ureterectomy was performed in 1 case of renal pelvic carcinoma and 1 ureteral carcinoma. Rupture of peritoneum occurred on table in 7 cases. Follow - up for 1 - 16 months (mean 7 months) showed all patients survived without cancer. Conclusion Retropefitoneoscopic radical nephrectomy is safe and effective. A method is recommended to avoid peritoneal rupture.
出处 《徐州医学院学报》 CAS 2006年第6期518-520,共3页 Acta Academiae Medicinae Xuzhou
关键词 肾肿瘤 腹腔镜 肾切除术 kidney neoplasms laparescopy nephrectomy
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参考文献7

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二级参考文献10

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共引文献75

同被引文献24

  • 1葛南,孙文东,许纯孝,张怀强,宋鸿彬,孟彦.自发性肾破裂的临床诊治分析[J].山东大学学报(医学版),2006,44(1):82-85. 被引量:6
  • 2邓述勇,曾雪山,余生源,沙朝晖.原发性小血管炎并发自发性肾破裂1例[J].中国冶金工业医学杂志,2007,24(4):511-512. 被引量:2
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