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目的:总结腹腔入路复杂性肾肿瘤伴静脉瘤栓根治性切除的手术技巧。方法:收集2011年6月～2011年11月复杂性肾肿瘤伴静脉瘤栓根治性切除术10例,均采用腹腔入路,归纳总结手术体会和技巧。结果:10例手术平均时间120min,平均出血量300ml,平均住院时间10d,2例术中输血600ml,1例术后出现肠梗阻。结论:复杂性肾肿瘤伴静脉瘤栓根治性切除术难度高、危险性大,根据患者不同情况选择合适的手术入路、合理的暴露、控制血管,精细的分离技巧可以增加手术的安全性及成功率,值得提倡和推广。
OBJECTIVE: To summarize the surgical techniques of radical resection of complicated renal tumor with intravenous nephroureterectomy. Methods: From June 2011 to November 2011, 10 cases of complicated nephrectomy with tumor rupture were treated by peritoneal approach, and the surgical experience and skills were summarized. Results: The average operation time was 120 minutes, the average amount of bleeding was 300ml and the average length of stay was 10 days in 10 cases. The blood transfusion in 2 cases was 600ml. One case had intestinal obstruction. Conclusions: Radical nephrectomy complicated with radical nephrectomy is very difficult and risky. Choosing the appropriate surgical approach according to the patient’s condition, reasonable exposure, controlling the blood vessels and fine separation techniques can increase the safety of operation and Success rate, it is worth promoting and promotion.