论文部分内容阅读
目的:探讨后腹腔镜保留肾单位手术切除较大肾脏错构瘤的病例选择、手术方法和临床效果。方法:共15例确诊为肾脏错构瘤患者,其中男6例,女9例,年龄26～59岁,平均39岁。左侧6例,右侧9例。肿瘤直径5 cm×7 cm～1 6 cm×1 2 cm,最大直径平均8 cm。所有患者均行后腹腔镜保留肾单位手术。观察手术时间、术中出血量、术后住院天数和术中术后并发症及手术效果。结果:1 5例手术全部成功。平均手术时间为70(55～95)min,平均热缺血时间24(13～35)min。平均出血量35(20～60)ml。平均术后住院时间为7(6～9)天。围手术期无并发症。结论:后腹腔镜肾保留肾单位手术对一些较大的肾错构瘤患者仍然安全可行,创伤小,患者恢复快,值得选择性地推广使用。
Objective: To investigate the cases, surgical methods and clinical effects of retroperitoneal laparoscopic nephron surgeries for the removal of larger renal hamartomas. Methods: A total of 15 patients diagnosed with renal hamartoma, including 6 males and 9 females, aged 26 to 59 years old with an average of 39 years. 6 cases on the left and 9 cases on the right. Tumor diameter of 5 cm × 7 cm ~ 16 cm × 12 cm, the maximum diameter of an average of 8 cm. All patients underwent retroperitoneal laparoscopic nephron surgery. Observation of operation time, intraoperative blood loss, postoperative hospital days and intraoperative and postoperative complications and surgical results. Results: All 15 cases were successful. The average operation time was 70 (55 ~ 95) min and the mean warm ischemia time was 24 (13 ~ 35) min. The average amount of bleeding 35 (20 ~ 60) ml. The average postoperative hospital stay was 7 (6 ~ 9) days. Perioperative complications. Conclusions: Retroperitoneal laparoscopic nephron-retained nephron surgery is still safe and feasible for some patients with large renal hamartoma, with less trauma and faster recovery. It is worth to promote the use of nephron.