论文部分内容阅读
目的:分析后腹腔镜肾部分切除术治疗肾脏肿瘤的临床疗效。方法:68例肾脏肿瘤患者行腹腔镜肾部分切除手术,采用全层“8”字间断缝合、免打结分层缝合法修复肾脏缺损,观察手术时间、手术出血量、肾脏热缺血时间、住院时间、并发症发生情况;随访1~3年,观察患者肿瘤复发及转移情况。结果:本组68例患者全部手术成功,无发生中转开放性手术及脏器损伤;手术时间68~125min,平均(89.35±7.36)min;手术出血量50~238ml,平均(82.71±14.28)ml;肾脏热缺血时间13~30min,平均(21.47±4.82)min;住院时间7~14d,平均(9.03±1.26)d;术后出现尿瘘者1例,肾周血肿者1例;随访1~3年后,无肿瘤复发或远处转移发生。结论:后腹腔镜肾部分切除术治疗肾脏肿瘤安全、有效,具有出血少、恢复快等优点。
Objective: To analyze the clinical effect of retroperitoneoscopic partial nephrectomy in the treatment of renal tumors. Methods: Sixty-eight patients with renal tumors underwent laparoscopic partial nephrectomy. All the patients were treated with full-thickness “8” suture, and stratified suture-free method to repair the renal defects. The operation time, operative bleeding volume, renal warm ischemia Time, hospital stay, complication; follow-up 1 to 3 years, observe the tumor recurrence and metastasis. Results: All the 68 patients were successful in operation, no transit surgery and organ injury occurred. The operation time was 68-125 minutes (mean, 89.35 ± 7.36) min, and the operative blood loss was 50-238 ml (82.71 ± 14.28) ml ; Renal warm ischemia time of 13 ~ 30min, an average of (21.47 ± 4.82) min; hospitalization time of 7 ~ 14d, an average of (9.03 ± 1.26) d; postoperative urinary tract fistula in 1 case, Three years later, no tumor recurrence or distant metastasis occurred. Conclusion: Retroperitoneal nephrectomy is safe and effective in treating renal tumors, with less bleeding and faster recovery.