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目的分析输尿管癌患者采取后腹腔镜联合下腹小切口行根治术治疗的临床效果。方法 30例采取后腹腔镜联合下腹小切口根治术治疗输尿管癌患者,总结临床治疗方法与效果。结果 30例患者经根治术治疗均手术成功,并无中转开放手术患者,手术时间(117.17±30.92)min,术中出血量(101.96±18.31)ml,术后肠功能恢复时间(1.96±0.52)d,围术期无明显并发症发生;住院时间(9.74±1.08)d,出院后皆予以≥1年随访,结果显示2例发生远处转移、1例新发肿瘤(膀胱内),皆及时处理后好转,此外有1例患者并发其他疾病而死亡。结论输尿管癌患者采取后腹腔镜联合下腹小切口根治术治疗可取得比较良好的效果,手术成功率高,并发症少,术后肠功能恢复快,同时远期效果明显,值得借鉴。
Objective To analyze the clinical effect of retroperitoneal laparoscopy and small incision in the treatment of radical urethral carcinoma in radical ureteral cancer. Methods Thirty patients underwent laparoscopic combined with radical gastrectomy for the treatment of ureteral cancer, summarizing the clinical treatment methods and effects. Results All the 30 patients underwent radical operation successfully. There were no patients undergoing open surgery. The operation time (117.17 ± 30.92) min, intraoperative blood loss (101.96 ± 18.31) ml and postoperative intestinal function recovery time (1.96 ± 0.52) d, perioperative no significant complications occurred; hospitalization time (9.74 ± 1.08) d, after discharge were to be ≥ 1 year follow-up, the results showed that 2 cases of distant metastasis, 1 case of new tumor (bladder), are timely After treatment improved, in addition to 1 patient died of other diseases. Conclusions Retroperitoneal laparoscopy and small incision radical gastrectomy in ureteral cancer patients can achieve better results. The success rate of operation is high, the complication is less, the intestinal function recovery is quick and the long-term effect is obvious.