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目的:评价腹膜后腹腔镜肾部分切除术的可行性及临床价值。方法:52例肾占位患者,肿瘤直径2.0~4.0cm。经后腹腔途径施术,术后病理为47例肾脏透明细胞癌,3例嫌色性细胞癌,2例乳头状肾癌。结果:51例手术顺利完成,1例中转开放,手术时间40~100min,平均75min,术中出血50~400ml,平均150ml。术后恢复顺利,住院12~18d,平均14d,随访6~24个月无肿瘤复发。结论:腹膜后腹腔镜肾部分切除术患者创伤小,术后康复快,值得临床推广。
Objective: To evaluate the feasibility and clinical value of retroperitoneal laparoscopic partial nephrectomy. Methods: Fifty-two patients with renal space occupying tumors of 2.0-4.0 cm in diameter. Transabdominal approach, postoperative pathology of 47 cases of clear cell renal cell carcinoma, 3 cases of chromophobe and 2 cases of papillary renal cell carcinoma. Results: 51 cases were successfully completed and 1 case was switched to open operation. The operation time was 40-100min with an average of 75min. The intraoperative bleeding ranged from 50 to 400ml with an average of 150ml. Postoperative recovery was good, hospitalized 12 ~ 18d, an average of 14d, followed up for 6 to 24 months without tumor recurrence. Conclusion: Retroperitoneal laparoscopic partial nephrectomy in patients with trauma, postoperative recovery quickly, it is worth clinical promotion.