后腹腔镜肾部分切除术治疗肾细胞癌的临床分析

发布时间：2018-05-23 12:10

本文选题：肾细胞癌 + 后腹腔镜　；参考：《中国老年学杂志》2017年09期

【摘要】：目的探讨后腹腔镜保留肾单位肾部分切除术治疗肾细胞癌的安全性及有效性。方法回顾性分析接受后腹腔镜保留肾单位肾部分切除术的肾细胞癌患者临床资料,收集手术时间、患肾热缺血时间、术中出血量、术后住院时间、术后并发症及随访资料。结果所有患者手术均获成功,手术时间45~230 min,平均98 min;肾动脉阻断时间8~50 min,平均19 min;术中失血量10~700 ml,平均93 ml;术后住院时间4~38 d,平均7.5 d。患肾手术切缘无肿瘤残留,术后随访10~72个月,未见肿瘤局部复发及转移,患侧残肾功能良好,未出现肾功能不全。结论后腹腔镜肾部分切除术对于治疗早期肾细胞癌具有疗效确切,安全性高,术后恢复快,并发症少等优点,可有效改善患者的术后生活质量。
[Abstract]:Objective to evaluate the safety and efficacy of retroperitoneal laparoscopic partial nephrectomy for renal cell carcinoma. Methods the clinical data of patients with renal cell carcinoma undergoing retroperitoneal laparoscopic partial nephrectomy were analyzed retrospectively. The time of operation, the time of renal ischemia, the amount of intraoperative bleeding, the time of hospitalization, the postoperative complications and the follow-up data were collected. Results all patients were successfully operated, the operative time was 45 ~ 230 min (mean 98 min), renal artery occlusion time was 850 min (mean 19 min), blood loss during operation was 10 ~ 700 ml (mean 93 ml), postoperative hospitalization time was 4 ~ 38 d (mean 7.5 d). There was no residual tumor in the resection margin of the affected kidney. No recurrence or metastasis of the tumor was found during the follow-up period of 10 ~ 72 months. The residual renal function of the affected side was good and no renal insufficiency was found. Conclusion Laparoscopic partial nephrectomy is effective and safe in the treatment of early stage renal cell carcinoma. It can effectively improve the quality of life of patients with early renal cell carcinoma.
【作者单位】：吉林大学第一医院泌尿系统疾病诊治中心;
【基金】：吉林省卫生计生青年课题(2015Q004)
【分类号】：R737.11

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