论文部分内容阅读
目的:探讨经后腹腔途径腹腔镜治疗T2和T3期肾癌的诊疗经验。方法:对我院经后腹腔途径腹腔镜切除30例T2和T3期肾癌的临床资料进行回顾性分析。结果:平均手术时间(215.0±80.6)min。术中平均出血量(111.0±22.5)ml。取出标本所作切口长度平均(6.87±3.63)cm。术后恢复胃肠通气时间(2.80±0.55)d,术后住院时间(9.80±2.27)d。手术中无中转开放手术。围手术期并发症包括术后延迟性出血1例,通道伤口感染1例和肺部感染2例。术后随访1年总存活率96.4%。术后随访中未见肿瘤切口和穿刺通道转移。结论:经后腹腔途径腹腔镜切除T2和T3期肾癌在技术上有相当的挑战性,但对于经验丰富的泌尿科医师来说完全可以胜任。
Objective: To investigate the experience of laparoscopic treatment of T2 and T3 renal cell carcinoma by retroperitoneal approach. Methods: The clinical data of 30 cases of T2 and T3 renal cell carcinoma after laparoscopic resection in our hospital were analyzed retrospectively. Results: The average operation time was (215.0 ± 80.6) min. Mean intraoperative blood loss (111.0 ± 22.5) ml. The length of the incision made on removal of the specimen averaged (6.87 ± 3.63) cm. Postoperative gastrointestinal ventilation was resumed (2.80 ± 0.55) d, postoperative hospital stay (9.80 ± 2.27) d. No transit surgery during surgery. Perioperative complications include postoperative delayed bleeding in 1 case, wound infection in 1 case and pulmonary infection in 2 cases. One-year follow-up of 96.4% overall survival rate. No postoperative follow-up of tumor incision and puncture channel transfer. Conclusions: Retroperitoneal laparoscopic resection of stage T2 and T3 renal cancer is technically challenging, but it is well-suited for experienced urologists.