Transperitoneal Laparoscopic Nephron- sparing Surgery for Treatment of Renal Carcinoma (Report of 9 Cases)
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摘要: 目的:探讨后腹腔镜保留肾单位治疗肾癌的手术方法及其临床效果。方法:采用后腹腔镜保留肾单位手术治疗肾癌共9例,经病理确诊为肾透明细胞癌6例,肾乳头状腺癌3例。结果:9例手术均获成功。手术时间120～160min,平均130min。住院时间7～10天。术后无并发症。术后随访1～18个月,无肿瘤复发及转移,无切口肿瘤种植。结论:后腹腔镜保留肾单位手术治疗肾癌具有创伤小、解剖清晰、术中出血少、术后恢复快等优点。Abstract: 0bjective: To study the operation method and clinical effect of transperitoneal laparo-scopic nephron- sparing surgery. Methods: Transperitoneal laparoscopic nephron- sparing surgery was performed in 9 patients, of which 6 suffered renal clear cell carcinoma and 3 adenocarcinoma confirmed pathologically. Results: Successful surgery had achieved in all cases, without complications. The operation time was 120 to 160 mins, with a mean of 130 mins. The length of stay after operation was 7 to 10 days. No recurrence, metastasis and implantation occurred in all cases, during a follow- up of 1 to 18 months following the operation. Conclusion: Transperitoneal laparoscopic nephron- sparing surgery has the advantages of minimal invasion, clear dissection, less bleeding and quick recovery.
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Keywords:
- Laparoscopy /
- Renal carcinoma /
- Nephron sparing surgery
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