摘要
目的探讨手助腹腔镜根治性肾切除术的临床应用价值。方法采用手助腹腔镜根治性肾切除治疗肾肿瘤21例。结果21例手助腹腔镜手术均成功。手术时间80 ̄150min,平均110min;术中出血20 ̄300mL,平均85mL;病理报告均为肾细胞癌(透明细胞癌20例,乳头状细胞癌1例);术后住院时间5 ̄14d,平均8d。结论采用手助腹腔镜根治性肾切除治疗肾肿瘤是安全有效的,与开放手术相比,具有损伤小、痛苦少、出血少、术后恢复快等优点。
[Objective] To evaluate the role offhand-assisted laparoscopic radical nephrectomy. [Methods] Hand-assisted laparoscopic radical nephrectomy was performed on 21 patients with renal tumors. [Results] 21 cases nderwent hand-asslsted laparoscopic radical nephrectomy. The mean surgical time was 110 min ( range 80- 150min), and the mean estimated blood loss was 85 (range 20~300 mL). The final pathologic report revealed renal cell carcinoma in 21. The mean postoperative hospitalization was 8 days(range 5-14days). [Conclusions] Hand-assisted laparoscopic nephrectomy is an effective, minimally invasive alternative surgical technique for renal tumors with less pain, less blood loss, faster recovery compared with open surgery .
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期34-35,共2页
China Journal of Endoscopy
关键词
肾肿瘤
腹腔镜
根治性肾切除术
kidney neoplasms
laparoscopy
radical nephrectomy