【摘要】 目的探讨后腹腔镜联合下腹部小切口在肾盂癌根治术中的应用。方法 2005年10月至2010年3月应用后腹腔联合下腹部小切口的方法对19例T1、T2肾盂癌进行根治性切除。手术采用腰部3孔或4孔法切除肾脏并完成输尿管的全段游离,由下腹部5～6cm小切口取出肾脏,直视下袖状切除输尿管壁间段,缝合膀胱切口。结果手术均获成功,无中转开放病例,手术时间110～210min,平均145min,术中平均出血80ml,无尿瘘及其他并发症发生,术后1周拔出尿管。结论后腹腔镜联合下腹小切口进行的肾盂癌根治术,具有出血少、无尿瘘发生、并发症少,手术易掌握、学习曲线短等优点,它是微创方法治疗肾盂癌的较好选择,具有推广应用价值。更多还原

【Abstract】 Objectives To investigate the retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy.Methods From October 2005 to March 2010,19 patients with renal pelvis carcinoma in T1 and T2 stage,underwent the retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy.Three or four Trocars on waist were adopted in the operation for removal the kidney and ureter completely.A 5-6 cm incision to take out the specimen,remove the ureter distal cuff then sew the bladder incision.Results Nineteen cases were successfully operated with the retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy,no open surgery case,the operation time 110-210 min(mean 145),the mean blood loss 80 ml,neither urine leakage nor other complication,the catheter removal at a week after surgery.Conclusion The retroperitoneal laparoscopy combined with the abdominal incision for radical nephroureterectomy has more advantages of less blood loss,less complications,being leart easily.It was a good choice for renal pelvis carcinoma.更多还原