【摘要】 目的探讨后腹腔镜根治性肾切除术的疗效和安全性。方法回顾性分析本院32例经后腹腔镜根治性肾切除术患者的临床资料。结果所有患者手术均顺利完成,平均手术时间150 min(90~210 min),平均术中出血110 mL(50~400 mL),无术中大出血、内脏损伤、高碳酸血症、肺栓塞、胸膜损伤等并发症。引流管拔除时间24~72 h,6~8天出院。病人随访6~12个月,无肿瘤复发及切口种植转移。结论后腹腔镜下根治性肾切除术安全可靠,疗效良好,值得临床推广应用。更多还原

【Abstract】 Objective To explore the effect and safety of retroperitoneal laparoscopic radical nephrectomy.Methods The clinical data of 32 cases of patients with renal carcinoma treated by retroperitoneal laparoscopic radical nephrectomy were retrospectively analyzed.Result All operations were completed smoothly,the average operation time was 150 minutes(90~210 min) and the mean bleeding volume was 110 mL(50~400 mL),no complications such as serious bleeding,visceral injury,hypercarbia,plumonary embloism and injury of pleura occured.Drainage-tube removed time was 24~72h and hospitalization time was 6~8 days.No recurrent of tumor and incise implantation of tumor took place in postoperation 6~12 months.Clonclusions Retroperitoneal laparoscopic radical nephrectomy with safety,reliability and good healing efficacy is worthy of being recommended in clinical practice.更多还原