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目的探讨后腹腔镜肾癌根治术的可行性及临床应用价值。方法收集2006年1月~2008年12月行后腹腔镜肾癌根治术40例患者资料,进行回顾性分析。结果40例手术均获成功,无中转开放手术者。手术时间80~260 min,出血量40~800 ml;术后住院时间4~12 d;术中及术后无明显并发症。术后病检报告:肾透明细胞癌33例,乳头状细胞癌3例,嫌色细胞癌2例,集合管癌1例,未分化癌1例。随访6~30个月,未见肿瘤复发及穿刺通道的种植转移。结论后腹腔镜肾癌根治术是一种安全、有效的手术方式,值得推广应用。
Objective To investigate the feasibility and clinical value of retroperitoneal laparoscopic radical nephrectomy. Methods The data of 40 patients undergoing laparoscopic radical nephrectomy from January 2006 to December 2008 were retrospectively analyzed. Results All the 40 surgeries were successful and no transfer surgery was performed. Surgery time 80 ~ 260 min, bleeding 40 ~ 800 ml; postoperative hospital stay 4 ~ 12 d; no significant intraoperative and postoperative complications. Postoperative pathological examination reports: 33 cases of clear cell renal cell carcinoma, 3 cases of papillary carcinoma, 2 cases of chromophobe, 1 case of ductal carcinoma and 1 case of undifferentiated carcinoma. Follow-up 6 to 30 months, no tumor recurrence and implantation of the puncture channel metastasis. Conclusions Retroperitoneal laparoscopic radical nephrectomy is a safe and effective surgical method, which is worth popularizing and applying.