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目的:总结后腹腔镜肾癌根治切除手术经验。方法:回顾性分阶段比较后腹腔镜肾癌根治切除手术160例之手术成功率及手术平均时间。结果:160例手术其128例成功,32例转开放手术,开展手术最初前2年成功率43%,平均手术时间276分钟,中间2年成功率63%,平均手术时间195分钟,近2年成功率96%,平均手术时间105分钟。结论:腹膜后腔途径行腹腔镜肾癌根治切除手术创伤小、安全、可靠。随着手术的不断开展,手术水平逐年快速提高。
Objective: To summarize the experience of retroperitoneal laparoscopic radical nephrectomy. Methods: Retrospectively compared the success rate of laparoscopic radical nephrectomy in 160 cases and the average operation time. Results: Of the 160 cases, 128 cases were successful and 32 cases were switched to open surgery. The initial success rate was 43% in the first 2 years of operation, the average operation time was 276 minutes, the middle 2 years success rate was 63%, the average operation time was 195 minutes and nearly 2 years The success rate of 96%, the average operation time of 105 minutes. Conclusion: Retroperitoneal approach laparoscopic radical nephrectomy is a safe, reliable and safe procedure. With the continuous operation, the level of operation increases rapidly year by year.