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腹腔镜根治性肾切除因手术操作步骤简单、时间短、治疗效果好而成为治疗肾癌的标准术式,但是往往会因为炎性病变而导致腹腔镜操作比开放手术更困难。作者回顾性分析了7年来在该院接受腹腔镜单纯肾切除术的42例患者(男性12例,女性30例),平均年龄47.5岁,手术共45次,其中25次采用经腹膜后途径,17次采用经腹途径。
Laparoscopic radical nephrectomy is a standard procedure for the treatment of renal cell carcinoma because of simple operation steps, short time and good curative effect. However, laparoscopic operation is often more difficult than open operation because of inflammatory diseases. The authors retrospectively analyzed 42 patients (12 males and 30 females) who underwent laparoscopic nephrectomy in this hospital for 7 years. The average age was 47.5 years. There were 45 operations, of which 25 were treated with retroperitoneal approach, 17 times using the transabdominal approach.